WO2010132538A1 - Fused tricyclic aryl compounds useful for the treatment of viral diseases - Google Patents

Fused tricyclic aryl compounds useful for the treatment of viral diseases Download PDF

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WO2010132538A1
WO2010132538A1 PCT/US2010/034498 US2010034498W WO2010132538A1 WO 2010132538 A1 WO2010132538 A1 WO 2010132538A1 US 2010034498 W US2010034498 W US 2010034498W WO 2010132538 A1 WO2010132538 A1 WO 2010132538A1
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group
alkyl
independently
another embodiment
occurrence
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PCT/US2010/034498
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French (fr)
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Stuart B. Rosenblum
Kevin X. Chen
Joseph A. Kozlowski
F. George Njoroge
Craig A. Coburn
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Schering Corporation
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Priority to US13/320,427 priority Critical patent/US9139569B2/en
Priority to CA2760205A priority patent/CA2760205A1/en
Priority to JP2012510971A priority patent/JP2012526834A/en
Priority to EP10720692.2A priority patent/EP2430015B1/en
Priority to AU2010249080A priority patent/AU2010249080A1/en
Publication of WO2010132538A1 publication Critical patent/WO2010132538A1/en

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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing three or more hetero rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00—Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16—Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals
    • A61P31/14—Antivirals for RNA viruses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00—Drugs for immunological or allergic disorders
    • A61P37/02—Immunomodulators
    • A61P37/04—Immunostimulants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C403/00—Derivatives of cyclohexane or of a cyclohexene or of cyclohexadiene, having a side-chain containing an acyclic unsaturated part of at least four carbon atoms, this part being directly attached to the cyclohexane or cyclohexene or cyclohexadiene rings, e.g. vitamin A, beta-carotene, beta-ionone
    • C07C403/04—Derivatives of cyclohexane or of a cyclohexene or of cyclohexadiene, having a side-chain containing an acyclic unsaturated part of at least four carbon atoms, this part being directly attached to the cyclohexane or cyclohexene or cyclohexadiene rings, e.g. vitamin A, beta-carotene, beta-ionone having side-chains substituted by halogen atoms
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
    • C07D403/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
    • C07D471/04—Ortho-condensed systems
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04—Ortho-condensed systems
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D491/00—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
    • C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/04—Ortho-condensed systems
    • C07D491/044—Ortho-condensed systems with only one oxygen atom as ring hetero atom in the oxygen-containing ring
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D493/00—Heterocyclic compounds containing oxygen atoms as the only ring hetero atoms in the condensed system
    • C07D493/02—Heterocyclic compounds containing oxygen atoms as the only ring hetero atoms in the condensed system in which the condensed system contains two hetero rings
    • C07D493/04—Ortho-condensed systems

Definitions

  • the present invention relates to novel Fused Tricyclic Aryl Compounds, compositions comprising at least one Fused Tricyclic Aryl Compound, and methods of using Fused Tricyclic Aryl Compounds for treating or preventing HCV infection in a patient.
  • HCV Hepatitis C virus
  • BB-NANBH blood-associated NANBH
  • NANBH is to be distinguished from other types of viral-induced liver disease, such as hepatitis A virus (HAV), hepatitis B virus (HBV), delta hepatitis virus (HDV), cytomegalovirus (CMV) and Epstein-Barr virus (EBV), as well as from other forms of liver disease such as alcoholism and primary biliar cirrhosis.
  • HAV hepatitis A virus
  • HBV hepatitis B virus
  • HDV delta hepatitis virus
  • CMV cytomegalovirus
  • EBV Epstein-Barr virus
  • HCV replication inhibition is a viable strategy for the prevention of hepatocellular carcinoma.
  • Current therapies for HCV infection include ⁇ -interferon monotherapy and combination therapy comprising ⁇ -interferon and ribavirin. These therapies have been shown to be effective in some patients with chronic HCV infection, but suffer from poor efficacy and unfavorable side-effects and there are currently efforts directed to the discovery of HCV replication inhibitors that are useful for the treatment and prevention of HCV related disorders.
  • HCV HCV-resistant oligonucleotides
  • free bile acids such as ursodeoxycholic acid and chenodeoxycholic acid
  • conjugated bile acids such as tauroursodeoxycholic acid
  • Phosphonoformic acid esters have also been proposed as potentially useful for the treatment of various viral infections, including HCV.
  • Vaccine development has been hampered by the high degree of viral strain heterogeneity and immune evasion and the lack of protection against reinfection, even with the same inoculum.
  • HCV NS5A Inhibitors of HCV NS5A have demonstrated efficacy in treating HCV infection in humans.
  • HCV NS5A is a 447 amino acid phosphoprotein which currently lacks a defined enzymatic function. It migrates as 56kd and 58kd bands on gels depending on phosphorylation state (Tanji, et al. J. Virol. 69:3980-3986 (1995)).
  • HCV NS5A resides in a replication complex and may be responsible for the switch from replication of RNA to production of infectious virus (Huang, Y, et al., Virology 364:1-9 (2007)).
  • Multicyclic HCV NS5A inhibitors have been reported. See U.S. Patent Publication Nos. US2OO8O311075, US20080044379, US20080050336, US20080044380, US20090202483 and US2009020478.
  • each dotted line represents an optional and additional bond, such that only one optional and additional bond can be attached to each of Y and Y", and wherein:
  • A is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R ' groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group or said heteroaryl group can be optionally and independently substituted on one or more ring nitrogen atoms with R and on one or more ring carbon atoms with R ;
  • D is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R 4 groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group, or said heteroaryl group can
  • Y ⁇ is -C- when an optional and additional bond to Y is present, and Y is -CH- when an optional and additional bond to Y 2 is absent;
  • Compounds and pharmaceutically acceptable salts thereof can be useful, for example, for inhibiting HCV viral replication or replicon activity, and for treating or preventing HCV infection in a patient.
  • the Fused Aryl Tricyclic Compounds or pharmaceutically acceptable salts thereof can also be useful for treating or preventing HCV infection in a patient.
  • the present invention provides methods for treating or preventing HCV infection in a patient, comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound.
  • the present invention also provides pharmaceutical compositions comprising an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
  • the compositions can be useful for treating or preventing HCV infection in a patient.
  • the present invention provides Fused Tricyclic Aryl Compounds, pharmaceutical compositions comprising at least one Fused Tricyclic Aryl Compound, and methods of using the Fused Tricyclic Aryl Compounds for treating or preventing a viral infection or a virus- related disorder in a patient.
  • a "patient” is a human or non-human mammal. In one embodiment, a patient is a human. In another embodiment, a patient is a chimpanzee.
  • an effective amount refers to an amount of Fused Aryl Tricyclic Compound and/or an additional therapeutic agent, or a composition thereof that is effective in producing the desired therapeutic, ameliorative, inhibitory or preventative effect when administered to a patient suffering from HCV infection.
  • an effective amount can refer to each individual agent or to the combination as a whole, wherein the amounts of all agents administered are together effective, but wherein the component agent of the combination may not be present individually in an effective amount.
  • preventing refers to reducing the likelihood of HCV infection.
  • alkyl refers to an aliphatic hydrocarbon group having one of its hydrogen atoms replaced with a bond.
  • An alkyl group may be straight or branched and contain from about 1 to about 20 carbon atoms. In one embodiment, an alkyl group contains from about 1 to about 12 carbon atoms. In another embodiment, an alkyl group contains from about 1 to about 6 carbon atoms.
  • Non-limiting examples of alkyl groups include methyl, ethyl, n-propyl, isopropyl, n- butyl, sec-butyl, isobutyl, tert-butyl, n-pentyl, neopentyl, isopentyl, n-hexyl, isohexyl and neohexyl.
  • An alkyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene- O- alkyl, alkylthio, -NH 2 , -
  • an alkyl group is unsubstituted.
  • an alkyl group is linear.
  • an alkyl group is branched.
  • the term "Ci-C 6 alkyl" refers to an alkyl group having from 1 to 6 carbon atoms. Unless otherwise indicated, an alkyl group is unsubstituted.
  • alkenyl refers to an aliphatic hydrocarbon group containing at least one carbon-carbon double bond and having one of its hydrogen atoms replaced with a bond.
  • An alkenyl group may be straight or branched and contain from about 2 to about 15 carbon atoms. In one embodiment, an alkenyl group contains from about 2 to about 12 carbon atoms. In another embodiment, an alkenyl group contains from about 2 to about 6 carbon atoms.
  • Non-limiting examples of alkenyl groups include ethenyl, propenyl, n- butenyl, 3-methylbut-2-enyl, n-pentenyl, octenyl and decenyl.
  • An alkenyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene-O-alkyl, alkylthio, - NH 2 , -NH(alkyl), -N(alkyl) 2 , -NH(cycloalkyl), -O-C(O)-alkyl, -O-C(O)-aryl, -0-C(O)- cycloalkyl, -C(O)OH and -C(O)O-alkyl.
  • an alkenyl group is unsubstituted.
  • C 2 -C 6 alkenyl refers to an alkenyl group having from 2 to 6 carbon atoms. Unless otherwise indicated, an alkenyl group is unsubstituted.
  • alkynyl refers to an aliphatic hydrocarbon group containing at least one carbon-carbon triple bond and having one of its hydrogen atoms replaced with a bond. An alkynyl group may be straight or branched and contain from about 2 to about 15 carbon atoms.
  • an alkynyl group contains from about 2 to about 12 carbon atoms, hi another embodiment, an alkynyl group contains from about 2 to about 6 carbon atoms.
  • alkynyl groups include ethynyl, propynyl, 2-butynyl and 3-methylbutynyl.
  • An alkynyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene-O-alkyl, alkylthio, -NH 2 , -NH(alkyl), - N(alkyl) 2 , -NH(cycloalkyl), -O-C(O)-alkyl, -O-C(O)-aryl, -O-C(O)-cycloalkyl, -C(O)OH and -C(O)O-alkyl.
  • an alkynyl group is unsubstituted.
  • C 2 -C 6 alkynyl refers to an alkynyl group having from 2 to 6 carbon atoms. Unless otherwise indicated, an alkynyl group is unsubstituted.
  • alkylene refers to an alkyl group, as defined above, wherein one of the alkyl group's hydrogen atoms has been replaced with a bond.
  • alkylene groups include -CH?-, -CH 2 CH 2 -, -CH 2 CH 2 CH 2 -, - CH 2 CH 2 CH 2 CH 2 -, -CH(CH 3 )CH 2 CH 2 -, -CH(CH 3 )- and -CH 2 CH(CH 3 )CH 2 -.
  • an alkylene group has from 1 to about 6 carbon atoms.
  • an alkylene group is branched.
  • an alkylene group is linear.
  • an alkylene group is -CH 2 -.
  • the term "Ci-C 6 alkylene" refers to an alkylene group having from 1 to 6 carbon atoms.
  • aryl refers to an aromatic monocyclic or multicyclic ring system comprising from about 6 to about 14 carbon atoms. In one embodiment, an aryl group contains from about 6 to about 10 carbon atoms. An aryl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. In one embodiment, an aryl group can be optionally fused to a cycloalkyl or cycloalkanoyl group. Non-limiting examples of aryl groups include phenyl and naphthyl. In one embodiment, an aryl group is unsubstituted. In another embodiment, an aryl group is phenyl. Unless otherwise indicated, an aryl group is unsubstituted.
  • arylene refers to a bivalent group derived from an aryl group, as defined above, by removal of a hydrogen atom from a ring carbon of an aryl group.
  • An arylene group can be derived from a monocyclic or multicyclic ring system comprising from about 6 to about 14 carbon atoms. In one embodiment, an arylene group contains from about 6 to about 10 carbon atoms. In another embodiment, an arylene group is a naphthylene group. In another embodiment, an arylene group is a phenylene group.
  • An arylene group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below.
  • An arylene group is divalent and either available bond on an arylene group can connect to either group flanking the arylene group. For example, the group "A-arylene-B," wherein the arylene group is: is understood to represent both:
  • an arylene group can be optionally fused to a cycloalkyl or cycloalkanoyl group.
  • arylene groups include phenylene and naphthalene. Unless otherwise indicated, an arylene group is unsubstituted. In one embodiment, an arylene group is unsubstituted. In another embodiment, an arylene group is:
  • cycloalkyl refers to a non- aromatic mono- or multicyclic ring system comprising from about 3 to about 10 ring carbon atoms. In one embodiment, a cycloalkyl contains from about 5 to about 10 ring carbon atoms. In another embodiment, a cycloalkyl contains from about 3 to about 7 ring atoms. In another embodiment, a cycloalkyl contains from about 5 to about 6 ring atoms.
  • cycloalkyl also encompasses a cycloalkyl group, as defined above, that is fused to an aryl (e.g., benzene) or heteroaryl ring.
  • Non-limiting examples of monocyclic cycloalkyls include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl.
  • Non-limiting examples of multicyclic cycloalkyls include 1-decalinyl, norbornyl and adamantyl.
  • a cycloalkyl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. In one embodiment, a cycloalkyl group is unsubstituted.
  • 3 to 7-membered cycloalkyl refers to a cycloalkyl group having from 3 to 7 ring carbon atoms.
  • a ring carbon atom of a cycloalkyl group may be functionalized as a carbonyl group.
  • a cycloalkyl group is unsubstituted.
  • An illustrative example of such a cycloalkyl group (also referred to herein as a "cycloalkanoyl” group) includes, but is not limited to, cyclobutanoyl:
  • cycloalkenyl refers to a non-aromatic mono- or multicyclic ring system comprising from about 4 to about 10 ring carbon atoms and containing at least one endocyclic double bond. In one embodiment, a cycloalkenyl contains from about 4 to about 7 ring carbon atoms. In another embodiment, a cycloalkenyl contains 5 or 6 ring atoms.
  • monocyclic cycloalkenyls include cyclopentenyl, cyclohexenyl, cyclohepta-l,3-dienyl, and the like.
  • a cycloalkenyl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below.
  • a ring carbon atom of a cycloalkyl group may be functionalized as a carbonyl group.
  • a cycloalkenyl group is unsubstituted.
  • a cycloalkenyl group is cyclopentenyl.
  • a cycloalkenyl group is cyclohexenyl.
  • the term "4 to 7-membered cycloalkenyl" refers to a cycloalkenyl group having from 4 to 7 ring carbon atoms.
  • a cycloalkenyl group is unsubstituted.
  • halo means -F, -Cl, -Br or -I. In one embodiment, a halo group is -F or -Cl. In another embodiment, a halo group is -F.
  • haloalkyl refers to an alkyl group as defined above, wherein one or more of the alkyl group's hydrogen atoms has been replaced with a halogen.
  • a haloalkyl group has from 1 to 6 carbon atoms and is substituted with one or more halogen atoms.
  • a haloalkyl group is substituted with from 1 to 3 F atoms.
  • Non-limiting examples of haloalkyl groups include -CH 2 F, -CHF 2 , - CF 3 , -CH 2 Cl and -CCI 3 .
  • Cj-C 6 haloalkyl refers to a haloalkyl group having from 1 to 6 carbon atoms substituted with up to 13 halogen atoms.
  • hydroxyalkyl refers to an alkyl group as defined above, wherein one or more of the alkyl group's hydrogen atoms has been replaced with an -OH group. In one embodiment, a hydroxyalkyl group has from 1 to 6 carbon atoms. Non- limiting examples of hydroxyalkyl groups include -CH 2 OH, -CH 2 CH 2 OH, -CH 2 CH 2 CH 2 OH and -CH 2 CH(OH)CH 3 .
  • Ci-C 6 hydroxyalkyl refers to a hydroxyalkyl group having from 1 to 6 carbon atoms.
  • heteroaryl refers to an aromatic monocyclic or multicyclic ring system comprising about 5 to about 14 ring atoms, wherein from 1 to 4 of the ring atoms is independently O, N or S and the remaining ring atoms are carbon atoms.
  • a heteroaryl group has 5 to 10 ring atoms.
  • a heteroaryl group is monocyclic and has 5 or 6 ring atoms.
  • a heteroaryl group is bicyclic.
  • a heteroaryl group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below.
  • heteroaryl group is joined via a ring carbon atom, and any nitrogen atom of a heteroaryl can be optionally oxidized to the corresponding N-oxide.
  • heteroaryl also encompasses a heteroaryl group, as defined above, which is fused to a benzene ring.
  • Non- limiting examples of heteroaryls include pyridyl, pyrazinyl, furanyl, thienyl, pyrimidinyl, pyridone (including N-substituted pyridones), isoxazolyl, isothiazolyl, oxazolyl, oxadiazolyl, thiazolyl, pyrazolyl, furazanyl, pyrrolyl, triazolyl, 1,2,4-thiadiazolyl, pyrazinyl, pyridazinyl, quinoxalinyl, phthalazinyl, oxindolyl, imidazo[l,2-a]pyridinyl, imidazol2,l-b]thiazolyl, benzofurazanyl, indolyl, azaindolyl, benzimidazolyl, benzothienyl, quinolinyl, imidazolyl, benzimidazolyl,
  • heteroaryl also refers to partially saturated heteroaryl moieties such as, for example, tetrahydroisoquinolyl, tetrahydroquinolyl and the like.
  • a heteroaryl group is unsubstituted.
  • a heteroaryl group is a 5-membered heteroaryl.
  • a heteroaryl group is a 6-membered heteroaryl.
  • a heteroaryl group comprises a 5 ro 6- membered heteroaryl group fused to a benzene ring.
  • the term "3 to 7-membered cycloalkyl” refers to a cycloalkyl group having from 3 to 8 ring carbon atoms. Unless otherwise indicated, a heteroaryl group is unsubstituted.
  • heteroarylene refers to a bivalent group derived from an heteroaryl group, as defined above, by removal of a hydrogen atom from a ring carbon or ring heteroatom of a heteroaryl group.
  • a heteroarylene group can be derived from a monocyclic or multicyclic ring system comprising about 5 to about 14 ring atoms, wherein from 1 to 4 of the ring atoms are each independently O, N or S and the remaining ring atoms are carbon atoms, hi one embodiment, a heteroarylene group has 5 to 10 ring atoms.
  • a heteroarylene group is monocyclic and has 5 or 6 ring atoms, hi another embodiment, a heteroarylene group is bicyclic and has 9 or 10 ring atoms.
  • a heteroarylene group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below.
  • a heteroarylene group is joined via a ring carbon atom or by a nitrogen atom with an open valence, and any nitrogen atom of a heteroarylene can be optionally oxidized to the corresponding N-oxide.
  • the term "heteroarylene” also encompasses a heteroarylene group, as defined above, that is fused to a benzene ring.
  • heteroarylenes include pyridylene, pyrazinylene, furanylene, thienylene, pyrimidinylene, pyridonylene (including those derived from N- substituted pyridonyls), isoxazolylene, isothiazolylene, oxazolylene, oxadiazolylene, thiazolylene, pyrazolylene, furazanylene, pyrrolylene, triazolylene, 1,2,4-thiadiazolylene, pyrazinylene, pyridazinylene, quinoxalinylene, phthalazinylene, oxindolylene, imidazof 1,2- ajpyridinylene, imidazo[2,l-b]thiazolylene, benzofurazanylene, indolylene, azaindolylene, benzimidazolylene, benzothienylene, quinolinylene, imidazolylene, benzimidazolylene,
  • heteroarylene also refers to partially saturated heteroarylene moieties such as, for example, tetrahydroisoquinolylene, tetrahydroquinolylene, and the like.
  • a heteroarylene group is divalent and either available bond on a heteroarylene ring can connect to either group flanking the heteroarylene group.
  • the group "A-heteroarylene-B,” wherein the heteroarylene group is:
  • a heteroarylene group is unsubstituted.
  • a heteroarylene group is a 5-membered heteroarylene.
  • a heteroarylene group is a 6-membered heteroarylene.
  • a heteroarylene group comprises a 5 or 6-membered heteroarylene group fused to a benzene ring.
  • a heteroarylene group is:
  • heterocycloalkyl refers to a non-aromatic saturated monocyclic or multicyclic ring system comprising 3 to about 10 ring atoms, wherein from 1 to 4 of the ring atoms are independently O, S or N and the remainder of the ring atoms are carbon atoms.
  • a heterocycloalkyl group can be joined via a ring carbon or ring nitrogen atom.
  • a heterocycloalkyl group has from about 3 to about 7 ring atoms.
  • a heterocycloalkyl group has 5 or 6 ring atoms.
  • a heterocycloalkyl group is monocyclic.
  • a heterocycloalkyl group is bicyclic. There are no adjacent oxygen and/or sulfur atoms present in the ring system. Any -NH group in a heterocycloalkyl ring may exist protected such as, for example, as an -N(BOC), -N(Cbz), -N(Tos) group and the like; such protected heterocycloalkyl groups are considered part of this invention.
  • the term "heterocycloalkyl” also encompasses a heterocycloalkyl group, as defined above, that is fused to an aryl (e.g., benzene) or heteroaryl ring.
  • a heterocycloalkyl group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below.
  • the nitrogen or sulfur atom of the heterocycloalkyl can be optionally oxidized to the corresponding N-oxide, S-oxide or S,S-dioxide.
  • Non-limiting examples of monocyclic heterocycloalkyl rings include oxetanyl, piperidyl, pyrrolidinyl, piperazinyl, morpholinyl, thiomorpholinyl, thiazolidinyl, 1 ,4-dioxanyl, tetrahydrofuranyl, tetrahydrothiophenyl, lactam, lactone and the like, and all isomers thereof.
  • a ring carbon atom of a heterocycloalkyl group may be functionalized as a carbonyl group.
  • An illustrative example of such a heterocycloalkyl group is pyrrolidonyl:
  • a heterocycloalkyl group is unsubstituted.
  • a heterocycloalkyl group is a 5-membered heterocycloalkyl.
  • a heterocycloalkyl group is a 6-membered heterocycloalkyl.
  • the term "3 to 7- membered cycloalkyl" refers to a heterocycloalkyl group having from 3 to 7 ring atoms. Unless otherwise indicated, a heterocycloalkyl group is unsubstituted.
  • heterocycloalkenyl refers to a heterocycloalkyl group, as defined above, wherein the heterocycloalkyl group contains from 4 to 10 ring atoms, and at least one endocyclic carbon-carbon or carbon-nitrogen double bond.
  • a heterocycloalkenyl group can be joined via a ring carbon or ring nitrogen atom.
  • a heterocycloalkenyl group has from 4 to 7 ring atoms.
  • a heterocycloalkenyl group is monocyclic and has 5 or 6 ring atoms.
  • a heterocycloalkenyl group is bicyclic.
  • a heterocycloalkenyl group can optionally substituted by one or more ring system substituents, wherein "ring system substituent" is as defined above.
  • the nitrogen or sulfur atom of the heterocycloalkenyl can be optionally oxidized to the corresponding N-oxide, S-oxide or S,S-dioxide.
  • heterocycloalkenyl groups include 1,2,3,4- tetrahydropyridinyl, 1 ,2-dihydropyridinyl, 1,4- dihydropyridinyl, 1,2,3,6-tetrahydropyridinyl, 1,4,5,6-tetrahydropyrimidinyl, 2-pyrrolinyl, 3- pyrrolinyl, 2-imidazolinyl, 2-pyrazolinyl, dihydroimidazolyl, dihydrooxazolyl, dihydrooxadiazolyl, dihydrothiazolyl, 3,4-dihydro-2H-pyranyl, dihydrofuranyl, fluoro- substituted dihydrofuranyl, 7-oxabicyclo[2.2.1 ]heptenyl, dihydrothiophenyl, dihydrothiopyranyl, and the like.
  • a ring carbon atom of a heterocycloalkenyl group may be functionalized as a carbonyl group.
  • a heterocycloalkenyl group is unsubstituted.
  • a heterocycloalkenyl group is a 5-membered heterocycloalkenyl.
  • a heterocycloalkenyl group is a 6-membered heterocycloalkenyl.
  • the term "4 to 7-membered heterocycloalkenyl" refers to a heterocycloalkenyl group having from 4 to 7 ring atoms. Unless otherwise indicated, a heterocycloalkenyl group is unsubstituted.
  • Ring system substituent refers to a substituent group attached to an aromatic or non-aromatic ring system which, for example, replaces an available hydrogen atom attached to the ring system.
  • Ring system substituents may be the same or different, each being independently selected from the group consisting of alkyl, alkenyl, alkynyl, aryl, heteroaryl, -alkylene-aryl, -arylene-alkyl, -alkylene-heteroaryl, - alkenylene-heteroaryl, -alkynylene-heteroaryl, hydroxy, hydroxyalkyl, haloalkyl, -O-alkyl, - O-haloalkyl, -alkylene-O-alkyl, -O-aryl, aralkoxy, acyl, aroyl, halo, nitro, cyano, -SF 5 , carboxy, -C(O)O-alkyl,
  • Ring system substituent may also mean a single moiety which simultaneously replaces two available hydrogens on two adjacent carbon atoms (one H on each carbon) on a ring system.
  • Examples of such moiety are methylenedioxy, ethylenedioxy, -C(CHa) 2 - and the like which form moieties such as, for example:
  • substituted means that one or more hydrogens on a designated atom is replaced with a selection from an indicated list of substituents, provided that the designated atom's normal valency under the existing circumstances is not exceeded, and that the substitution results in a stable compound. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds.
  • stable compound' or “stable structure” refers to a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent.
  • substantially purified form refers to the physical state of a compound after the compound is isolated from a synthetic process (e.g., from a reaction mixture), a natural source, or a combination thereof.
  • substantially purified form also refers to the physical state of a compound after the compound is obtained from a purification process or processes described herein or well-known to the skilled artisan (e.g., chromatography, recrystallization and the like), in sufficient purity to be characterizable by standard analytical techniques described herein or well-known to the skilled artisan.
  • any carbon as well as heteroatom with unsatisfied valences in the text, schemes, examples and tables herein is assumed to have the sufficient number of hydrogen atom(s) to satisfy the valences.
  • a functional group in a compound is termed "protected”
  • Suitable protecting groups will be recognized by those with ordinary skill in the art as well as by reference to standard textbooks such as, for example, T. W. Greene et al, Protective Groups in Organic Synthesis (1991), Wiley, New York.
  • any variable e.g., aryl, heterocycle, R 2 , etc.
  • its definition on each occurrence is independent of its definition at every other occurrence.
  • composition is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
  • Prodrugs and solvates of the compounds of the invention are also contemplated herein.
  • a discussion of prodrugs is provided in T. Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems (1987) ⁇ A_ of the A.C.S. Symposium Series, and in Bioreversible Carriers in Drug Design, (1987) Edward B. Roche, ed., American Pharmaceutical Association and Pergamon Press.
  • the term "prodrug” means a compound (e.g., a drug precursor) that is transformed in vivo to provide a Fused Tricyclic Aryl Compound or a pharmaceutically acceptable salt, hydrate or solvate of the compound. The transformation may occur by various mechanisms (e.g., by metabolic or chemical processes), such as, for example, through hydrolysis in blood.
  • a prodrug can comprise an ester formed by the replacement of the hydrogen atom of the acid group with a group such as, for example, (Ci-Cg)alkyl, (C 2 -C i 2 )alkanoyloxymethyl, 1- (alkanoyloxy)ethyl having from 4 to 9 carbon atoms, 1 -methyl- l-(alkanoyloxy)-ethyl having from 5 to 10 carbon atoms, alkoxycarbonyloxymethyl having from 3 to 6 carbon atoms, 1- (alkoxycarbonyloxy)ethyl having from 4 to 7 carbon atoms, 1 -methyl- 1- (alkoxycarbonyloxy)ethyl having from 5 to 8 carbon atoms, N-(alkoxycarbonyl)aminomethyl having from 3 to 9 carbon atoms,
  • C 2 )alkylamino(C 2 -C 3 )alkyl (such as ⁇ -dimethylaminoethyl), carbamoyl-(Ci-C 2 )alkyl, N,N-di (Ci-C 2 )alkylcarbamoyl-(Ci-C 2 )alkyl and piperidino-, pyrrolidino- or morpholino(C 2 -C 3 )alkyl, and the like.
  • a prodrug can be formed by the replacement of the hydrogen atom of the alcohol group with a group such as, for example, (Ci-C 6 )alkanoyloxymethyl, l-((Ci-C 6 )alkanoyloxy)ethyl, 1- methyl- 1 -((C i -C 6 )alkanoyloxy)ethyl, (C i -C ⁇ s)alkoxycarbonyloxymethyl, N-(C 1 - C 6 )alkoxycarbonylaminomethyl, succinoyl, (Ci-C 6 )alkanoyl, ⁇ -amino(Ci-C 4 )alkyl, ⁇ - amino(C]-C 4 )alkylene-aryl, arylacyl and ⁇ -aminoacyl, or ⁇ -aminoacyl- ⁇ -aminoacyl, where each
  • a prodrug can be formed by the replacement of a hydrogen atom in the amine group with a group such as, for example, R-carbonyl-, RO-carbonyl-, NRR'-carbonyl- wherein R and R' are each independently (Ci-Cio)alkyl, (C 3 -C 7 ) cycloalkyl, benzyl, a natural IJ -aminoacyl, — C(OH)C(O)OY 1 wherein Y 1 is H, (C,-C 6 )alkyl or benzyl, — C(OY 2 )Y 3 wherein Y 2 is (Ci-C 4 ) alkyl and Y 3 is (d-C 6 )alkyl; carboxy (Ci-C 6 )alkyl; amino(Ci-C 4 )alkyl or mono-N- or di- N 5 N-(C i-C
  • esters of the present compounds include the following groups: (1) carboxylic acid esters obtained by esterification of the hydroxy group of a hydroxyl compound, in which the non-carbonyl moiety of the carboxylic acid portion of the ester grouping is selected from straight or branched chain alkyl (for example, methyl, ethyl, n-propyl, isopropyl, t-butyl, sec-butyl or n-butyl), alkoxyalkyl (for example, methoxymethyl), aralkyl (for example, benzyl), aryloxyalkyl (for example, phenoxymethyl), aryl (for example, phenyl optionally substituted with, for example, halogen, C ⁇ alkyl, or -O-Ci- 4 alkyl or amino); (2) sulfonate esters, such as alkyl- or aralkylsulfonyl (for example, methanesulfonyl); (3) amino acid
  • One or more compounds of the invention may exist in unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol, and the like, and it is intended that the invention embrace both solvated and unsolvated forms.
  • “Solvate” means a physical association of a compound of this invention with one or more solvent molecules. This physical association involves varying degrees of ionic and covalent bonding, including hydrogen bonding. In certain instances the solvate will be capable of isolation, for example when one or more solvent molecules are incorporated in the crystal lattice of the crystalline solid. "Solvate” encompasses both solution-phase and isolatable solvates. Non-limiting examples of solvates include ethanolates, methanolates, and the like.
  • “Hydrate” is a solvate wherein the solvent molecule is H 2 O.
  • One or more compounds of the invention may optionally be converted to a solvate.
  • Preparation of solvates is generally known.
  • M. Caira et al, J. Pharmaceutical Sci., 93(3), 601-611 (2004) describe the preparation of the solvates of the antifungal fluconazole in ethyl acetate as well as from water.
  • Similar preparations of solvates, hemisolvate, hydrates and the like are described by E. C. van Tonder et al, AAPS
  • a typical, non-limiting, process involves dissolving the inventive compound in desired amounts of the desired solvent (organic or water or mixtures thereof) at a higher than ambient temperature, and cooling the solution at a rate sufficient to form crystals which are then isolated by standard methods.
  • Analytical techniques such as, for example IR spectroscopy, show the presence of the solvent (or water) in the crystals as a solvate (or hydrate).
  • the Fused Tricyclic Aryl Compounds can form salts which are also within the scope of this invention.
  • Reference to a Fused Tricyclic Aryl Compound herein is understood to include reference to salts thereof, unless otherwise indicated.
  • the term "salt(s)", as employed herein, denotes acidic salts formed with inorganic and/or organic acids, as well as basic salts formed with inorganic and/or organic bases.
  • a Fused Tricyclic Aryl Compound contains both a basic moiety, such as, but not limited to a pyridine or imidazole, and an acidic moiety, such as, but not limited to a carboxylic acid
  • zwitterions inner salts
  • the salt is a pharmaceutically acceptable ⁇ i.e., non-toxic, physiologically acceptable) salt.
  • the salt is other than a pharmaceutically acceptable salt.
  • Salts of the Compounds of Formula (I) may be formed, for example, by reacting a Fused Tricyclic Aryl Compound with an amount of acid or base, such as an equivalent amount, in a medium such as one in which the salt precipitates or in an aqueous medium followed by lyophilization.
  • Exemplary acid addition salts include acetates, ascorbates, benzoates, benzenesulfonates, bisulfates, borates, butyrates, citrates, camphorates, camphorsulfonates, fumarates, hydrochlorides, hydrobromides, hydroiodides, lactates, maleates, methanesulfonates, naphthalenesulfonates, nitrates, oxalates, phosphates, propionates, salicylates, succinates, sulfates, tartarates, thiocyanates, toluenesulfonates (also known as tosylates) and the like.
  • Exemplary basic salts include ammonium salts, alkali metal salts such as sodium, lithium, and potassium salts, alkaline earth metal salts such as calcium and magnesium salts, salts with organic bases (for example, organic amines) such as dicyclohexylamine, t-butyl amine, choline, and salts with amino acids such as arginine, lysine and the like.
  • alkali metal salts such as sodium, lithium, and potassium salts
  • alkaline earth metal salts such as calcium and magnesium salts
  • salts with organic bases for example, organic amines
  • organic bases for example, organic amines
  • amino acids such as arginine, lysine and the like.
  • Basic nitrogen-containing groups may be quartemized with agents such as lower alkyl halides (e.g., methyl, ethyl, and butyl chlorides, bromides and iodides), dialkyl sulfates (e.g., dimethyl, diethyl, and dibutyl sulfates), long chain halides (e.g., decyl, lauryl, and stearyl chlorides, bromides and iodides), aralkyl halides (e.g., benzyl and phenethyl bromides), and others.
  • lower alkyl halides e.g., methyl, ethyl, and butyl chlorides, bromides and iodides
  • dialkyl sulfates e.g., dimethyl, diethyl, and dibutyl sulfates
  • long chain halides e.g., decyl, lauryl,
  • Diastereomeric mixtures can be separated into their individual diastereomers on the basis of their physical chemical differences by methods well known to those skilled in the art, such as, for example, by chromatography and/or fractional crystallization.
  • Enantiomers can be separated by converting the enantiomeric mixture into a diastereomeric mixture by reaction with an appropriate optically active compound (e.g., chiral auxiliary such as a chiral alcohol or Mosher's acid chloride), separating the diastereomers and converting (e.g., hydrolyzing) the individual diastereomers to the corresponding pure enantiomers.
  • an appropriate optically active compound e.g., chiral auxiliary such as a chiral alcohol or Mosher's acid chloride
  • Sterochemically pure compounds may also be prepared by using chiral starting materials or by employing salt resolution techniques.
  • Fused Tricyclic Aryl Compounds may be atropisomers (e.g., substituted biaryls) and are considered as part of this invention. Enantiomers can also be directly separated using chiral chromatographic techniques. It is also possible that the Fused Tricyclic Aryl Compounds may exist in different tautomeric forms, and all such forms are embraced within the scope of the invention. For example, all keto-enol and imine-enamine forms of the compounds are included in the invention. It should also be noted that tautomeric forms such as, for example, the moieties:
  • Individual stereoisomers of the compounds of the invention may, for example, be substantially free of other isomers, or may be admixed, for example, as racemates or with all other, or other selected, stereoisomers.
  • the chiral centers of the present invention can have the S or R configuration as defined by the IUPAC 1974 Recommendations.
  • the use of the terms "salt”, “solvate”, “ester”, “prodrug” and the like, is intended to apply equally to the salt, solvate, ester and prodrug of enantiomers, stereoisomers, rotamers, tautomers, positional isomers, racemates or prodrugs of the inventive compounds.
  • the atoms may exhibit their natural isotopic abundances, or one or more of the atoms may be artificially enriched in a particular isotope having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number predominantly found in nature.
  • the present invention is meant to include all suitable isotopic variations of the compounds of generic Formula I.
  • different isotopic forms of hydrogen (H) include protium ( 1 H) and deuterium ( 2 H).
  • Protium is the predominant hydrogen isotope found in nature. Enriching for deuterium may afford certain therapeutic advantages, such as increasing in vivo half-life or reducing dosage requirements, or may provide a compound useful as a standard for characterization of biological samples.
  • Isotopically-enriched Compounds of Formula (I) can be prepared without undue experimentation by conventional techniques well known to those skilled in the art or by processes analogous to those described in the Schemes and Examples herein using appropriate isotopically-enriched reagents and/or intermediates.
  • a Compound of Formula (I) has one or more of its hydrogen atoms replaced with deuterium.
  • Polymorphic forms of the Fused Tricyclic Aryl Compounds, and of the salts of the Fused Tricyclic Aryl Compounds, are intended to be included in the present invention.
  • BINAP is racemic-2,2'-bis(diphenylphosphino)-l,l'-binaphthyl
  • BOC or Boc is tert- butyloxycarbonyl
  • CDI carbonyl diimidazole
  • Ci/mmol Curie/mmol
  • CSA camphorsulfonic acid
  • DBPD 2-(Di-t-butylphosphino)biphenyl
  • DBU is l,8-diazabicyclo[5.4.0]undec-7-ene
  • DBN is l,5-diazabicyclol4.3.0]non-5-ene
  • DCC is dicyclohexylcarbodiimide
  • DCM dichloromethane
  • Dibal-H is diisobutylaluminum hydride
  • DIPEA is N,N-Diisopropylethylamine
  • DMAP dimethylaminopyridine
  • the Compounds of Formula (I) provides Fused Tricyclic Aryl Compounds of Formula (I):
  • A is 4 to 7-membered heterocycloalkyl.
  • A is 4 to 7-membered heterocycloalkenyl.
  • A is aryl
  • A is heteroaryl
  • A is 5-membered heteroaryl.
  • A is phenyl
  • A is imidazolyl.
  • A is benzimidazolyl.
  • D is 4 to 7-membered heterocycloalkyl.
  • D is 4 to 7-membered heterocycloalkenyl.
  • D is aryl. In still another embodiment, D is heteroaryl.
  • D is 5-membered heteroaryl.
  • D is phenyl
  • D is imidazolyl
  • D is benzimidazolyl.
  • L 1 is -C(O)-.
  • L 1 is -S(O) 2 -.
  • L 1 is -O- .
  • L 1 is -CF 2 -.
  • L 1 is -N(R 12 )-.
  • L 1 is -NH-.
  • L 1 is -NHC(O)O-.
  • L 1 is -OC(O)NH-. In another embodiment, L 1 is -S(O) 2 N(R 12 )-.
  • L 1 is -N(R 12 )S(O) 2 -.
  • L 1 is -C(O)N(R 12 )-.
  • L 1 is -N(R 1 - )C(O)-. In a further embodiment, L 1 is -C(O)NH-.
  • L is -NHC(O)-.
  • L 1 is -NHC(O)NH-.
  • L 1 is -NHS(O) 2 -.
  • L 1 is -S(O) 2 NH-.
  • L 2 is -CH 2 -.
  • L " is -C ⁇ C-.
  • L 2 is -C(O)-.
  • L 2 is -S(O) 2 -.
  • L is -O-. In one embodiment, L is -CF 2 -.
  • L is -N(R )-.
  • L " is -NH-.
  • L 2 is -NHC(O)O-.
  • L is -OC(O)NH-.
  • L 2 is -S(O) 2 N(R 12 )-.
  • L 2 is -N(R 12 )S(O) 2 -.
  • L 2 is -C(O)N(R 12 )-.
  • L 2 is -N(R 12 )C(O)-.
  • L 2 is -C(O)NH-. In another embodiment, L 2 is -NHC(O)-.
  • L 2 is -NHC(O)NH-.
  • L 2 is -NHS(O) 2 -.
  • L is -S(O) 2 NH-. In one embodiment, L is a bond and L is other than a bond.
  • L 1 and L 2 are each independently selected from a bond, C 2 -C 4 alkylene, -NH-, -C(O)-, -NHC(O)- and -S(O) 2 -.
  • L 2 is a bond and L 1 is other than a bond.
  • L 1 and L 2 are each a bond. In another embodiment, one of L 1 and L 2 is a bond and the other is not a bond.
  • neither of L 1 and L 2 is a bond.
  • L 1 and L are independently selected from:
  • L 1 and L 2 are each independently selected from:
  • M 1 is -C(R 17 )-.
  • M 1 is -N-.
  • M 1 is -CH-. In still another embodiment, M 1 is -C(F)-.
  • M 2 is -C(R 17 )-.
  • M is -N-.
  • M 2 is -CH-.
  • M is -C(F)-.
  • M 1 and M 2 are each independently selected from -C(R 17 )- and -
  • M 1 and M 2 are each independently selected from -CH- and - N-.
  • M and M are each -C(R )-. In another embodiment, M 1 and M 2 are each -CH-.
  • M 1 and M 2 are each -N-.
  • M 1 is -N- and M 2 is -CH-.
  • M 1 is -CH- and M 2 is -N-.
  • X 1 is -[C(R 12 )] n O-[C(R 12 )] n -.
  • X 1 is -[C(R 12 )] n N(R 10 )[C(R 12 )] n -. In still another embodiment, X 1 is -N(R 10 )C(O)N(R 10 )-.
  • X 1 is -[C(R 12 )] n S(O) n [C(R 12 )] n -. In a further embodiment, X 1 is -S(O) 2 N(R 10 )-.
  • X 1 is -N(R 10 )S (O) 2 -.
  • X 1 is -O-, -NH- or -CH 2 - and the optional and additional bond to X 1 is absent. In another embodiment, X 1 is -N- or -CH- and the optional and additional bond to X 1 is present.
  • X is -[C(R )] q -.
  • X 2 is -[C(R l2 )] n O-[C(R 12 )] n -.
  • X 2 is -[C(R 12 )] n N(R l0 )[C(R 12 )l n -.
  • X 2 is -N(R 10 )C(O)N(R 10 )-.
  • X 2 is -[C(R 12 )l n S(O) n [C(R 12 )l n -. In a further embodiment, X 2 is -S(O) 2 N(R 10 )-.
  • X 2 is -N(R 10 )S(O) 2 -.
  • X is -O- , -NH- or -CH 2 - and the optional and additional bond to X 2 is absent.
  • X 2 is -N- or -CH- and the optional and additional bond to X 2 is present.
  • X 1 and X 2 are each N.
  • Y 1 is -C- and one optional and additional bond to Y 1 is present.
  • Y 1 is -CH- and there is no optional and additional bond to Y 1 .
  • Y 2 is -C- and one optional and additional bond to Y 2 is present.
  • Y 2 is -CH- and there is no optional and additional bond to
  • each of Y 1 and Y 2 is -C- and each of Y 1 and Y 2 is connected via an optional and additional bond. In another embodiment, each of Y 1 and Y 2 is -CH- and neither of Y 1 and Y 2 is connected via an optional and additional bond.
  • Y 1 is -N-.
  • Z 1 is -fC(R 12 )l n 0-[C(R 12 )] n -.
  • Z 1 is -[C(R 12 )] n N(R 10 )[C(R 12 )] n -.
  • Z 1 is -N(R 10 )C(O)N(R 10 )-.
  • Z 1 is -[C(R 12 )] n S(O) n [C(R 12 )] n -. In a further embodiment, Z 1 is -S(O) 2 N(R 10 )-.
  • Z 1 is -N(R 10 )S(O) 2 -.
  • Z 1 is -O-, -NH- or -CH 2 - and the optional and additional bond to Z 1 is absent.
  • Z 1 is -N- or -CH- and the optional and additional bond to Z 1 is present.
  • Z" is -[C(R )] q -.
  • Z 2 is -[C(R 12 )] n N(R 10 )[C(R 12 )] n -.
  • Z 2 is -N(R 10 )C(O)N(R 10 )-.
  • Z 2 is -[C(R 12 )] n S(O) n [C(R 12 )] n -.
  • Z 2 is -S(O) 2 N(R 10 )-. In another embodiment, Z 2 is -N(R 10 )S(O) 2 -.
  • Z 2 is -O-, -NH- or -CH 2 - and the optional and additional bond to Z 2 is absent.
  • Z 2 is -N- or -CH- and the optional and additional bond to Z 2 is present.
  • Z 1 and Z 2 are each N.
  • X 1 and Z are each N.
  • X 2 and Z 1 are each N.
  • R 1 is R 5 . In another embodiment, R 1 is H.
  • R 1 is -Ci-C 6 alkyl.
  • R 1 is -Ci-C 6 haloalkyl.
  • R 1 is -[C(R l2 ) 2 ] p -(3 to 7-membered cycloalkyl). In another embodiment, R 1 is -[C(R l2 ) 2 ] p -(4 to 7-membered heterocycloalkyl).
  • R 1 is -fC(R 12 ) 2 ] p -aryl.
  • R 1 is -[C(R l2 ) 2 ] p -heteroaryl.
  • R 1 is -[C(R I2 ) 2 ] P -C(O)R 12 .
  • R 1 is -(C 2 -C 6 alkylene)OR 10 . In still another embodiment, R 1 is -(C 2 -C 6 alkylene)OC(O)R 12 .
  • R 1 is -(C 2 -C 6 alkylene)N(R l0 ) 2 .
  • R 1 is -(C 2 -C 6 alkylene)N(R l0 )C(O)R 12 .
  • R 1 is -[C(R I 2 ) 2 ] P S(O) 2 R U .
  • R 1 is -[C(R l2 ) 2 J p -C(O)N(R 12 ) 2 . In another embodiment, R 1 is -(C 2 -C 6 alkylene)N(R 10 )S(O) 2 R" .
  • R 1 is -[C(R 12 ) 2 ] p S(O) n (R ⁇ )N(R 10 ).
  • R 1 is -C(O)-[C(R 12 ) 2 ] q N(R 10 ) 2 .
  • R 1 is -C(O)C(R 12 ) 2 N(R 10 )C(O)R 6 .
  • R 1 is -(C 2 -C 6 alkylene)N(R l0 )-C(O)[C(R l2 ) 2 ] q N(R 10 ) 2 .
  • R 1 is -(C 2 C 6 alkylene)N(R l0 )-C(S)[C(R l2 ) 2 ] q N(R 10 ) 2.
  • R 1 is 3 to 7-membered cycloalkyl.
  • R 1 is 4 to 7-membered heterocycloalkyl.
  • R 1 is pyrrolidinyl
  • R 1 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
  • R 1 is H, methyl, ethyl, isopropyl, t-butyl, -CF 3 , -CH 2 CF 3 , cyclopropyl, cyclobutyl or -CH 2 -cyclopropyl.
  • R 2 is R 5 .
  • R 2 is H. In another embodiment, R is -Ci-C 6 alkyl. In still another embodiment, R 2 is -Ci-C 6 haloalkyl.
  • R is -[C(R " ) 2 ] p -(3 to 7-membered cycloalkyl).
  • R is -[C(R l2 ) 2 ] p -(4 to 7-membered heterocycloalkyl).
  • R 2 is -[C(R l2 ) 2 ] p -aryl.
  • R is -[C(R l2 ) 2 ] p -heteroaryl.
  • R 2 is -[C(R l2 ) 2 ] p -C(O)R i2 .
  • R 2 is -(C 2 -C 6 alkylene)OR 10 .
  • R 2 is -(C 2 -C 6 alkylene)OC(O)R 12
  • R 2 is -(C 2 -C 6 alkylene)N(R l0 ) 2 . In another embodiment, R 2 is -(C 2 -C 6 alkylene)N(R 10 )C(O)R 12 .
  • R 2 is -[C(R l2 ) 2 ] p S(O) 2 R ⁇ .
  • R 2 is -[C(R 12 ) 2 ] p -C(O)N(R i2 ) 2 .
  • R 2 is -(C 2 -C 6 alkylene)N(R 10 )S(O) 2 R".
  • R 2 is -[C(R 12 ) 2 J p S(O) n (R' ')N(R 10 ). In another embodiment, R 2 is -C(O)-[C(R 12 ) 2 ] q N(R 10 ) 2 .
  • R 2 is -C(O)C(R 12 ) 2 N(R 10 )C(O)R 6 .
  • R 2 is -(C 2 -C 6 alkylene)N(R i0 )-C(O)[C(R 12 ) 2 ] q N(R l0 ) 2 .
  • R 2 is -(C 2 C 6 alkylene)N(R 10 )-C(S)[C(R 12 ) 2 l q N(R l0 ) 2.
  • R 2 is 3 to 7-membered cycloalkyl.
  • R" is 4 to 7-membered heterocycloalkyl.
  • R" is pyrrol idinyl
  • R is
  • R 2 is H, methyl, ethyl, isopropyl, t-butyl, -CF 3 , -CH 2 CF 3 , cyclopropyl, cyclobutyl or -CH 2 -cyclopropyl.
  • R 1 and R are each pyrrolidinyl.
  • R and R are each independently selected from H, H, methyl, ethyl, isopropyl, isobutyl, t-butyl, -C( 2 H) 3 , -CH 2 SO 2 CH 3 , -CF 3 , -CH 2 CF 3 , cyclopropyl, cyclobutyl, cyclopentyl, -CH 2 -cyclopropyl,
  • R 1 and R 2 are each independently selected from: H, methyl, ethyl, isopropyl, t-butyl, -CF 3 , -CH 2 CF 3 , cyclopropyl, cyclobutyl and -CHb-cyclopropyl.
  • R 1 and R are each H. In one embodiment, R 3 is R 5 .
  • R 3 is H.
  • R 3 is -Ci-C 6 alkyl.
  • R is -Ci-C ⁇ haloalkyl.
  • R 3 is -[C(R 12 )2] p -(3 to 7-membered cycloalkyl).
  • R " is -[C(R ) 2 ] p -(4 to 7-membered heterocycloalkyl).
  • R 3 is -[C(R 12 ) 2 ] p -aryl.
  • R is -[C(R )2l p -heteroaryl.
  • R 3 is -[C(R 12 ) 2 ] P -C(O)R 12 .
  • R 3 is -[C(R 12 ) 2 ] P OR 10 . In another embodiment, R 3 is -[C(R I2 ) 2 J P OC(O)R 12 .
  • R 3 is -[C(R l2 )2]pN(R ⁇ )2.
  • R 3 is -[C(R 12 ) 2 ] p N(R 10 )C(O)R 12 .
  • R 3 is -[C(R 12 ) 2 ] p S(O) 2 R ⁇ .
  • R 3 is -[C(R 12 ) 2 ] P N(R 10 )S(O) 2 R 11 .
  • R 3 is -[C(R ⁇ ) 2 J p S(O) 2 (R 1 ')N(R 10 ) .
  • R 3 is -C(O)-[C(R 12 ) 2 ] q N(R u ) 2 .
  • R 3 is -[C(R 12 ) 2 l p N(R 10 )C(O)[C(R 12 ) 2 ] q N(R I0 ) 2 .
  • R 3 is [C(R 12 ) 2 J p N(R I0 )C(S)[C(R I2 ) 2 ] q N(R 10 ) 2 .
  • R 3 is -C(O)C(R I2 ) 2 N(R 10 )C(O)R 6 . In another embodiment, R 3 is selected from:
  • R 4 is R 5 .
  • R 4 is H.
  • R 4 is -Ci-C 6 alkyl. In still another embodiment, R 4 is -Ci-C 6 haloalkyl.
  • R 4 is -[C(R 12 ) 2 ] p -(3 to 7-membered cycloalkyl).
  • R 4 is -[C(R 12 ) 2 ] p -(4 to 7-membered heterocycloalkyl).
  • R 4 is -[C(R ) 2 ] p -aryl.
  • R 4 is -[C(R 12 ) 2 ] p -heteroaryl. In another embodiment, R 4 is -[C(R 12 ) 2 ] P -C(O)R 12 .
  • R 4 is -[C(R 12 ) 2 J p OR 10 .
  • R 4 is -[C(R 12 ) 2 ] P OC(O)R 12 .
  • R 4 is -[C(R 12 ) 2 l p N(R ⁇ ) 2 .
  • R 4 is -[C(R 12 ) 2 ] P N(R 1() )C(O)R 12 . In another embodiment, R 4 is -[C(R 12 ⁇ IpS(O) 2 R 11 .
  • R 4 is -[C(R 12 )2] p N(R 10 )S(O) 2 R 11 .
  • R 4 is -[C(R ⁇ ) 2 I p S(O) 2 (R 1 ')N(R 10 ) .
  • R 4 is -C(O)-[C(R 12 ) 2 JqN(R' ') 2 .
  • R 4 is -[C(R 12 ) 2 ] p N(R 10 )C(O)[C(R 12 ) 2 ] q N(R 10 ) 2 .
  • R 4 is [C(R 12 ) 2 ] p N(R 10 )C(S)[C(R 12 ) 2 ] q N(R 10 ) 2 .
  • R 4 is -C(O)C(R 12 ) 2 N(R 10 )C(O)R 6 .
  • R 4 is:
  • R 3 and R 4 are each independently selected from
  • R 3 and R 4 are each independently selected from:
  • R > 3 a randomly prepared ⁇ ⁇ R ⁇ 4 are each independently selected from:
  • R 3 and R 4 are each
  • R 3 is H.
  • R is -Ci-Cealkyl
  • R is -Ci-C 6 haloalkyl.
  • R 5 is -fC(R 12 ) 2 ] p -(3 to 7-membered cycloalkyl). In another embodiment, R 5 is -[C(R 12 )?1 p -(4 to 7-membered heterocycloalkyl).
  • R 5 is -[C(R 12 )2] p -aryl.
  • R is -[C(R *" ) 2 ] p -heteroaryl.
  • R 5 is -[C(R 12 ) 2 ] P -C(O)R 12 .
  • R 5 is -[C(R 12 ) 2 ] p OR 10 . In another embodiment, R 5 is -[C(R 12 ) 2 J P OC(O)R 12 .
  • R 5 is -[C(R 12 ) 2 ]pN(R 10 ) 2 .
  • R 5 is -[C(R 12 ) 2 J p N(R 10 )C(O)R 12 .
  • R 5 is -[C(R 12 ) 2 JpS(O) 2 R n .
  • R 5 is -[C(R 12 ) 2 J p N(R 10 )S(O) 2 R 1 '. In another embodiment, R 5 is -[C(R 12 ⁇ I p S(O) 2 (R 1 ⁇ N(R 10 ) .
  • R 5 is -C(O)-[C(R 12 ) 2 l q N(R 10 ) 2 .
  • R 5 is -[C(R 12 ) 2 J p N(R 10 )C(O)[C(R 12 ) 2 J q N(R 10 ) 2 .
  • R 5 is -[C(R 12 ) 2 ] p N(R 10 )C(S)[C(R 12 ) 2 J q N(R 10 )2.
  • R 5 is -C(O)C(R 12 ) 2 N(R 10 )C(O)R 6 .
  • each occurrence of R is independently selected from:
  • each occurrence of R is independently selected from:
  • each occurrence of R is independently -C(O)- CH(R 12 )N(R 10 )C(O)R 6 .
  • each occurrence of R 5 is independently:
  • each occurrence of R 5 is independently: , wherein R a is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH 2 CH 2 CF 3 , 4-pyranyl or phenyl.
  • each occurrence of R is independently:
  • eacn occurrence of R is independently selected from:
  • R and R 4 are each independently selected from:
  • R 5 is independently selected from:
  • R 3 and R 4 are each:
  • R 5 is:
  • a and D are each independently 4 to 7-membered cycloalkyl.
  • a and D are each independently 4 to 7-membered heterocycloalkyl.
  • a and D are each independently 4 to 7-membered cycloalkenyl. In still another embodiment, A and D are each independently 4 to 7-membered heterocycloalkeny 1.
  • a and D are each independently aryl. In another embodiment, A and D are each independently heteroaryl. In yet another embodiment, one of A and D is aryl. In another embodiment, one of A and D is heteroaryl.
  • one of A and D is imidazolyl. In a further embodiment, one of A and D is benzimidazolyl. In one another embodiment, A and D are each independently heteroaryl. In another embodiment, A and D are each independently selected from imidazolyl, benzimidaolyl, indolyl, triazinoyl, pyrrolyl and quinazolinyl. In another embodiment, A and D are each imidazolyl.
  • a or D are each benzimidazolyl.
  • a and D are each independently selected from
  • R 1 ' 2 represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • a and D are each independently selected from wherein R 1 ' 2 represents substitution by either an R 1 group or an R group and R 3 4 represents substitution by either an R group or an R 4 group.
  • a and D are each independently selected from:
  • a and D are each:
  • a and D are each:
  • A-R 3 and D-R 4 are each independently selected from
  • A-R 3 and D-R 4 are each independently selected from and each occurrence of R 5 is independently -[C(R ) 2 l P N(R 10 )C(O)R 12 .
  • A-R 3 and D-R 4 are each independently selected from
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and R b is alkyl.
  • A-R 3 and D-R 4 are each independently selected from
  • R 5 is independently
  • R a is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH 2 CH 2 CF 3 , 4-pyranyl or phenyl.
  • A-R 3 and D-R 4 are each independently selected from
  • A-R and D-R are each independently selected from
  • A-R 3 and D-R 4 are each independently selected from :
  • A-R 3 and D-R 4 are each independently selected from
  • R 3 is independently -[C(R 1 ⁇ 2%) 2 I p N(R , 1 1 0I%C(O)R . 1 1 2.
  • A-R ' and D-R 4 are each independently selected from
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and R b is alkyl.
  • A-R 3 and D-R 4 are each independently selected from
  • R a is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH 2 CH 2 CF 3 , 4-pyranyl or phenyl.
  • A-R and D-R 4 are each independently selected from and each occurrence of R 5 is independently
  • A-R 3 and D-R 4 are each independently selected from and each occurrence of R is
  • A-R 3 and D-R 4 are each and each occurrence of R 5 i •s
  • A-R 3 and D-R 4 are each and each occurrence of R is
  • the group: and A and D are each independently selected from
  • R 1 ' 2 represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • a and D are each independently selected from
  • R 1 ' 2 represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • R 1 ' 2 represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • ⁇ and A-R and D-R are each independently selected from :
  • the group: is selected from:
  • ⁇ and A-R ' and D-R are each independently selected from :
  • the group: is selected from:
  • A-R 3 and D-R 4 are each independently selected from and each occurrence of R is independently , wherein R d is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl
  • the group: is selected from:
  • a and D are each independently selected from:
  • R 1 '" represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • R 1 '" represents substitution by either an R 1 group or an R 2 group and R 3 ' 4 represents substitution by either an R 3 group or an R 4 group.
  • a and D are each independently selected from:
  • R ' represents substitution by either an R group or an R 4 group which are each independently selected from:
  • a and D are each independently selected from:
  • R 3 ' 4 represents substitution by either an R 3 group or an R 4 group which are each independently selected from:
  • R 5 is independently:
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl
  • the group: is selected from:
  • A-R 3 and D-R 4 are each independently selected from :
  • the group: is selected from:
  • A-R 3 and D-R 4 are each independently selected from
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl. In another embodiment, the group:
  • A-R 3 and D-R 4 are each independently selected from and each occurrence of R 5 ; i,s independently
  • the group: is selected from:
  • A-R J and D-R 4 are each
  • variables A, B, C, D, R 1 , R 2 , R 3 and R 4 are selected independently from each other.
  • a Compound of Formula (I) is in substantially purified form.
  • the Compounds of Formula (I) have the formula (Ia):
  • A is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R 3 ;
  • D is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R 4 ;
  • M 1 is -CH- or -N-;
  • M 2 is -CH- or -N-;
  • X 1 is -CH 2 -, -NH- or -O- when the optional and additional bond to X 1 is not present, and X 1 is -CH- or -N- when the optional and additional bond to X 1 is present;
  • X 2 is -CH 2 -, -NH- or -O- when the optional and additional bond to X 2 is not present, and X 2 is -CH- or -N- when the optional and additional bond to X 2 is present;
  • Y 1 is -C- when an optional and additional bond to Y 1 is present, and Y 1 is -CH- when an optional and additional bond to Y 1 is absent;
  • Y ⁇ is -C- when an optional and additional bond to Y" is present, and Y is -CH- when an optional and additional bond to Y " is absent;
  • Z 1 is -CH 2 -, -NH- or -O- when the optional and additional bond to Z 1 is not present, and Z 1 is -CH- or -N- when the optional and additional bond to Z 1 is present;
  • Z ⁇ is -CH 2 -, -NH- or -O- when the optional and additional bond to Z is not present, and Z 2 is -CH- or -N- when the optional and additional bond to Z 2 is present; each occurrence of R 3 is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R 5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R 4 is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R 5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R 5 is independently halo, -C(O)N(R 10 )C(O)N(R l0 ) 2 , -
  • C(O)C(R 12 ) 2 N(R 10 )C(O)R 6 or two R 5 groups on different carbon atoms of the same R 3 or R 4 group can combine to form a C 1 -C 3 alkylene group between the carbon atoms to which the two said R groups are attached; each occurrence of R 6 is independently -C 1 -C 6 alkyl, -0-(Ci-C 6 alkyl), -Ci-C 6 haloalkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R 10 is independently H or -Ci-C 6 alkyl; and each occurrence of R 12 is independently H, -C J -C 6 haloalkyl, -C]-C 6 alkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl.
  • a and D are each independently imidazolyl or benzimidazolyl. In another embodiment, for the Compounds of Formula (Ia), A and D are each imidazolyl.
  • a and D are each benzimidazolyl.
  • R 3 and R 4 are each independently selected from:
  • R 3 and R 4 are each:
  • each occurrence of R 5 is independently selected from:
  • each occurrence of R 5 is independently:
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and R b is alkyl.
  • each occurrence of R 5 is independently:
  • R a is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -
  • each occurrence of R 5 is:
  • R and R are each independently selected from:
  • R 3 and R 4 are each independently selected from:
  • R 5 is independently:
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and R b is alkyl.
  • R 3 and R 4 are each independently selected from:
  • R 3 and R 4 are each:
  • R is independently selected from:
  • R 3 and R are each:
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl
  • R 3 and R 4 are each:
  • R 3 and R 4 are each: and each occurrence of R 3 is:
  • a and D are each independently selected from:
  • R 1 ' 2 represents substitution by either an R 1 group or an R group and R ' 4 represents substitution by either an R 3 group or an R 4 group.
  • R ' 4 represents substitution by either an R 3 group or an R 4 group.
  • a and D are each independently selected from:
  • R ⁇ ' represents substitution by either an R group or an R group which are each independently selected from:
  • a and D are each independently selected from:
  • R 3 ' 4 represents substitution by either an R 3 group or an R 4 group which are each independently selected from:
  • R 5 is independently: , wherein R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl
  • A-R and D-R are each independently selected from
  • A-R 3 and D-R 4 are each independently selected from
  • R a is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
  • R b is alkyl
  • A-R " and D-R are each independently selected from and each occurrence of R 3 is independently
  • the group: is selected from:
  • A-R and D-R are each
  • X 2 , Y 1 , Y 2 , Z 1 and Z 2 are selected independently from each other.
  • a Compound of Formula (Ia) is in substantially purified form.
  • the Compounds of Formula (I) have the formula (Ib):
  • T is selected from:
  • each occurrence of R f and R s is H.
  • At least one occurrence of R f or R g is F.
  • one occurrence of R f is F and the other occurrence of R f is H.
  • one occurrence of R g is F and the other occurrence of R g is H.
  • each occurrence of R f is F.
  • each occurrence of R s is F.
  • a and D are each:
  • a and D are each:
  • variables A, D and T are selected independently from each other.
  • a Compound of Formula (Ib) is in substantially purified form.
  • the Compounds of Formula (I) have the formula (Ic):
  • a and D are the same and are selected from:
  • L 1 is a bond, C 2 -C 4 alkylene, -NH-, -C(O)-, -NHC(O)- or -S(O) 2 -;
  • L 2 is a bond, C 2 -C 4 alkylene, -NH-, -C(O)-, -C(O)NH- or -S(O) 2 -, such that at least one of L 1 and L 2 is other than a bond; and T is selected from:
  • each occurrence of R and R g is H.
  • At least one occurrence of R f or R g is F. In another embodiment, for the Compounds of Formula (Ic), one occurrence of R f is F and the other occurrence of R f is H.
  • one occurrence of R s is F and the other occurrence of R g is H.
  • each occurrence of R f is F.
  • each occurrence of R g is F.
  • a and D are each:
  • a and D are each:
  • one, but not both, of L 1 and L 2 is a bond. In another embodiment, for the Compounds of Formula (Ic), neither of L 1 and L 2 is a bond.
  • variables A, D, L 1 , L 2 and T are selected independently from each other.
  • a Compound of Formula (Ic) is in substantially purified form.
  • a pharmaceutical composition comprising an effective amount of a Compound of Formula (I) and a pharmaceutically acceptable carrier.
  • a pharmaceutical composition comprising an effective amount of a Compound of Formula (I) and a pharmaceutically acceptable carrier.
  • HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors.
  • a pharmaceutical combination that is (i) a Compound of Formula (I) and (ii) a second therapeutic agent selected from the group consisting of HCV antiviral agents, immunomodulators, and anti- infective agents; wherein the Compound of Formula (I) and the second therapeutic agent are each employed in an amount that renders the combination effective for inhibiting HCV NS5A, or for treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection.
  • HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors.
  • a method of inhibiting HCV NS5A in a subject in need thereof which comprises administering to the subject an effective amount of a Compound of Formula (I).
  • a method of treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection in a subject in need thereof which comprises administering to the subject an effective amount of a Compound of Formula (I).
  • the HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors.
  • (j) A method of inhibiting HCV NS5A in a subject in need thereof which comprises administering to the subject the pharmaceutical composition of (a), (b), or (c) or the combination of (d) or (e).
  • (k) A method of treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection in a subject in need thereof which comprises administering to the subject the pharmaceutical composition of (a), (b), or (c) or the combination of (d) or (e).
  • the present invention also includes a compound of the present invention for use (i) in, (ii) as a medicament for, or (iii) in the preparation of a medicament for: (a) inhibiting HCV NS5A, or (b) treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection.
  • the compounds of the present invention can optionally be employed in combination with one or more second therapeutic agents selected from HCV antiviral agents, anti-infective agents, and immunomodulators.
  • Additional embodiments of the invention include the pharmaceutical compositions, combinations and methods set forth in (a)-(k) above and the uses set forth in the preceding paragraph, wherein the compound of the present invention employed therein is a compound of one of the embodiments, aspects, classes, sub-classes, or features of the compounds described above. In all of these embodiments, the compound may optionally be used in the form of a pharmaceutically acceptable salt or hydrate as appropriate.
  • Non-limiting examples of the Compounds of Formula (I) include compounds 1-42 as set forth in the following tables:
  • the Compounds of Formula (I) may be prepared from known or readily prepared starting materials, following methods known to one skilled in the art of organic synthesis. Methods useful for making the Compounds of Formula (I) are set forth in the Examples below and generalized in Schemes 1-5. Alternative synthetic pathways and application of the outlined methods to analogous structures will be apparent to those skilled in the art of organic synthesis. All stereoisomers and tautomeric forms of the compounds are contemplated. Schemes 1 and 2 illustrate several known pathways (shown as retrosyntheses as denoted by the double arrow) for the construction of the title compounds.
  • Scheme 1 shows methods useful for making compounds of formula Sl, which correspond to the Compounds of Formula (I) wherein Y 1 and Y 2 are each -CH- and no optional and additional bond is present.
  • X 1 ' , X 2' , Z 1' and Z 2> are each independently -[C(R 12 )] n OH, -[C(R 12 )] n NH 2 , - N(R 10 )C(O)NH(R 10 ), -[C(R 12 )] n SH, or -S(O) 2 NH(R 10 );
  • T is Cl, Br or -OTf; and
  • A, D, M 1 , M 2 , R 1 , R 2 , X 1 , X 2 , Z 1 and Z 2 are as defined above for the Compounds of Formula (I).
  • Compounds of formula S2 can be derived from compounds of formula S4, or S5, wherein T represents a leaving group such as a halide or O- mesylate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step.
  • Compounds of formula S2 can also be derived from compounds of formula S6, or S7, wherein T represents a group that can participate in a cross-coupling reaction such as such as a halide or -O-triflate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step.
  • Compounds of structure S3, S4, S5, S6, and S7 can be derived from commercial or known compounds of structure S16 using well-known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry” 6 th Ed, 2007, J. Wiley Publishers.
  • Scheme 2 shows methods useful for making compounds of formula S8, which correspond to the Compounds of Formula (I) wherein Y 1 and Y 2 are each -C- and two optional and additional bonds are present.
  • X 1' , X 2' , Z 1 ' and Z 2' are each independently -[C(R 12 )] n OH, -[C(R 12 )] n NH 2 , - N(R 10 )C(O)NH(R 10 ), -[C(R 12 )l n SH, or -S(O) 2 NH(R 10 ); and A, D, M 1 , M 2 , R 1 , R 2 , X 1 , X 2 , Z 1 and Z 2 are as defined above for the Compounds of Formula (I), X 1 " and X 2 " represent either a X 1 or X 2 group, respectively, as above or as a protected analog thereof.
  • Compounds of formula SlO can be derived from compounds of formula S 12, or S 13, wherein T represents a leaving group such as a halide or -O-mesylate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step.
  • Compounds of formula SlO can also be derived from compounds of formula S14, or S15 wherein T represents a group that can participate in a cross-coupling reaction such as such as a halide and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step.
  • Compounds of structure SIl, S12, S13, S14, and S15 can be derived from commercial or known compounds of structure S16 using well-known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry” 6 th Ed, 2007, J. Wiley Publishers.
  • Scheme 3 shows methods useful for making compounds of formula G7, which correspond to the Compounds of Formula (I) wherein Y 1 and Y are each -CH- and no optional and additional bond is present.
  • An appropriately substituted aromatic compound of formula Gl can be reacted with a geminal dihalide of formula G2 or an aldehyde of formula G3 to provide tricyclic compounds of formula G4.
  • Compounds of formula G4, wherein T is a functional group can be transformed to compounds of formula G7 by reaction with a functionalized compound of general structure G8, wherein reactive group T' represents a suitable coupling partner such as electron lone pair (i.e., an anion), a boronic acid, a boronate ester, a transition metal (such as Pd, Rh or Ni), an alcohol or a halide.
  • a suitable coupling partner such as electron lone pair (i.e., an anion), a boronic acid, a boronate ester, a transition metal (such as Pd, Rh or Ni), an alcohol or a halide.
  • an appropriately substituted aromatic compound of formula Gl can be reacted with a geminal dihalide of formula G5 or an aldehyde of formula G6 to provide the tricyclic compounds of formula G7, which correspond to the Compounds of Formula (I) wherein Y and Y are each -CH- and no optional and additional bond is present.
  • Scheme 4 illustrates methods useful for making the Compounds of Formula (I) wherein Y 1 and Y 2 are each -C- and optional and additional bonds to X 1 and X 2 are present.
  • X 1' , X 2' , Z 1 ' and Z 2' are each independently -[C(R 12 )] n OH, -[C(R 12 )] n NH 2 , -
  • An appropriately substituted aromatic compound of formula Gl can be reacted with an acid chloride, carboxylic acid or ester of formula G8 followed by a dehydration step to provide the intermediate tricyclic compounds of formula G9.
  • Typical conditions for the dehydration include treatment with acetic acid, polyphoshoric acid or aluminum chloride.
  • an appropriately substituted aromatic compound of formula Gl can be reacted with an acid chloride, carboxylic acid or ester of formula GlO to provide acylated intermediates that when subjected to dehydrating conditions (such as acetic acid, polyphoshoric acid or aluminum chloride) can be cyclized to provide the tricyclic compounds of formula GIl, which correspond to the Compounds of Formula (I) wherein Y 1 and Y 2 are each -C- and optional and additional bonds to X 1 and X 2 are present.
  • T is a reactive functional group
  • T' represents a suitable coupling partner such as an electron lone pair (i.e., anion), a boronic acid, a boronate ester, a transition metal (such as Pd, Rh or Ni), an alcohol or a halide.
  • An appropriately substituted aromatic compound of structure Gl can be reacted with a functionalized ring system of general structure GlO which in certain cases afford directly tricyclic compounds of general structure G4.
  • an appropriately substituted aromatic compound of structure Gl can be reacted with a functionalized ring system of general structure GlO to provide an acylated intermediates that when treated with under dehydrating conditions (ex. acid) can be cyclized to tricyclic compounds of general structure GIl.
  • M is -O- or -NH-;
  • R 1 and R are each independently cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl or heteroaryl;
  • T is Cl, Br or -OTf; and
  • M 1 , M 2 , X 1 , X 2 , Z 1 and Z 2 are as defined above for the Compounds of Formula (I).
  • the reactive group T of an intermediate compound of formula G4 can reacted with a carboxylic acid equivalent , such an activated ester (i.e 4-nitrophenyl ester), acid chloride or ortho ester using metal-mediated anion chemistry (ex. Na, Li, MgHalide) or transition metal- mediated coupling chemistry (B(OH) 2 , -Sn(alkyl) 3 , -MgBr, -MgCl, -ZnBr, -ZnCl, or any metal which can participate in an organometallic cross-coupling reaction) to provide intermediates of formula G13.
  • Suitable cross-coupling methods include, but not limited to, a Stille coupling (see Choshi et al, J. Org.
  • Cyclization of intermediate G13 in the presence of ammonia or a source or ammonium such an ammonium salt provides the imidazole-containing tetracyclic intermediate of formula G14, which correspond to the Compounds of Formula (I) wherein wherein Y 1 and Y 2 are each -CH- and no optional and additional bond is present.
  • ammonium salt e.g., ammonium acetate, ammonium formate, ammonium sulfamate, ammonium phosphate, ammonium citrate, ammonium carbamate
  • R , R", R , R 4 contains a nitrogen atom, which can be functionalized with an R 5 moiety.
  • the R 5 group is an amino acid derivative such as valine, valine carbamate, phenylglycine, dimethyl phenylglycine or a phenylglycine carbamate derivatives. Methods have been described in the general literature as well as in U.S. Patent Publication No. 2009/0068140 for the preparation of substituted amino acids derivatives. as well the coupling of such amino acid derivatives to a nitrogen atom.
  • R 3 and/or R 4 contains a nitrogen atom, which can be synthesized through an L-amino acid (such as proline, 4,4-difluoroproline, (S)-2- piperidine carboxylic acid, valine, alanine, norvaline, etc.) derived intermediate.
  • L-amino acid such as proline, 4,4-difluoroproline, (S)-2- piperidine carboxylic acid, valine, alanine, norvaline, etc.
  • the starting materials used and the intermediates prepared using the methods set forth in the Schemes above may be isolated and purified if desired using conventional techniques, including but not limited to filtration, distillation, crystallization, chromatography and alike. Such materials can be characterized using conventional means, including physical constants and spectral data.
  • Benzimidazole bromide Int-4b (925 mg, 3 mmol), (Pinacol) 2 B 2 (1.6g, 6.3 mmol), Pd(PPh 3 ) 4 (174 mg, 0.15 mmol), potassium acetate (736 mg, 7.5 mmol) and 1,4-dioxane (100 mL) were added to 350 mL pressure vessel. The resulting mixture was degassed, purged with nitrogen and allowed to stir at 80 0 C for 17 h. After the reaction was cooled to room temperature the solution was diluted with CH 2 Cl 2 (300 mL) and filtered through a celite plug. The filtrate was washed with NaHCO 3 solution (50 mL) and water (50 mL).
  • replicon cells were seeded at 5000 cells/well in 96- well collagen I-coated Nunc plates in the presence of the test compound.
  • Various concentrations of test compound typically in 10 serial 2-fold dilutions, were added to the assay mixture, with the starting concentration ranging from 250 ⁇ M to 1 ⁇ M.
  • the final concentration of DMSO was 0.5%, fetal bovine serum was 5%, in the assay media.
  • Cells were harvested on day 3 by the addition of Ix cell lysis buffer (Ambion cat #8721).
  • the replicon RNA level was measured using real time PCR (Taqman assay). The amplicon was located in 5B.
  • the PCR primers were: 5B.2F, ATGGAC AGGCGCCCTGA (SEQ. ID NO. 1); 5B.2R, TTGATGGGCAGCTTGGTTTC (SEQ. ID NO. 2); the probe sequence was FAM-labeled CACGCCATGCGCTGCGG (SEQ. ID NO. 3).
  • GAPDH RNA was used as endogenous control and was amplified in the same reaction as NS5B (multiplex PCR) using primers and VIC-labeled probe recommended by the manufacturer (PE Applied Biosystem).
  • the realtime RT-PCR reactions were run on ABI PRISM 7900HT Sequence Detection System using the following program: 48 C for 30 min, 95 C for 10 min, 40 cycles of 95 C for 15 sec, 6O C for 1 min.
  • the ⁇ CT values (CT SB -CT GAPDH ) were plotted against the concentration of test compound and fitted to the sigmoid dose-response model using XLfit4 (MDL).
  • a standard curve was established by including serially diluted T7 transcripts of replicon RNA in the Taqman assay. All Taqman reagents were from PE Applied Biosystems. Such an assay procedure was described in detail in e.g. Malcolm et ah, Antimicrobial Agents and Chemotherapy 50: 1013- 1020 (2006).
  • HCV replicon assay data was calculated for genotypes Ia, Ib, 2a and 3a for selected compounds of the present invention using this method and is provided in the table below.
  • the Fused Aryl Tricyclic Compounds are useful in human and veterinary medicine for treating or preventing a viral infection in a patient.
  • the Fused Aryl Tricyclic Compounds can be inhibitors of viral replication.
  • the Fused Aryl Tricyclic Compounds can be inhibitors of HCV replication. Accordingly, the Fused Aryl Tricyclic Compounds are useful for treating viral infections, such as HCV.
  • the Fused Aryl Tricyclic Compounds can be administered to a patient in need of treatment or prevention of a viral infection.
  • the invention provides methods for treating a viral infection in a patient comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof.
  • the Fused Aryl Tricyclic Compounds can be useful for treating or preventing a viral infection caused by the Flaviviridae family of viruses.
  • Flaviviridae infections that can be treated or prevented using the present methods include but are not limited to, dengue fever, Japanese encephalitis, Kyasanur Forest disease, Murray Valley encephalitis, St. Louis encephalitis, Tick-borne encephalitis, West Nile encephalitis, yellow fever and Hepatitis C Virus (HCV) infection.
  • the Flaviviridae infection being treated is hepatitis C virus infection.
  • the Fused Aryl Tricyclic Compounds are useful in the inhibition of HCV (e.g., HCV NS 5A), the treatment of HCV infection and/or reduction of the likelihood or severity of symptoms of HCV infection and the inhibition of HCV viral replication and/or HCV viral production in a cell-based system.
  • HCV e.g., HCV NS 5A
  • the Fused Aryl Tricyclic Compounds are useful in treating infection by HCV after suspected past exposure to HCV by such means as blood transfusion, exchange of body fluids, bites, accidental needle stick, or exposure to patient blood during surgery or other medical procedures.
  • the hepatitis C infection is acute hepatitis C. In another embodiment, the hepatitis C infection is chronic hepatitis C. Accordingly, in one embodiment, the invention provides methods for treating HCV infection in a patient, the methods comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof. In a specific embodiment, the amount administered is effective to treat or prevent infection by HCV in the patient. In another specific embodiment, the amount administered is effective to inhibit HCV viral replication and/or viral production in the patient.
  • the Fused Aryl Tricyclic Compounds are also useful in the preparation and execution of screening assays for antiviral compounds.
  • the Fused Aryl Tricyclic Compounds are useful for identifying resistant HCV replicon cell lines harboring mutations within NS 5 A, which are excellent screening tools for more powerful antiviral compounds.
  • the Fused Aryl Tricyclic Compounds are useful in establishing or determining the binding site of other antivirals to the HCV replicase.
  • compositions and combinations of the present invention can be useful for treating a patient suffering from infection related to any HCV genotype.
  • HCV types and subtypes may differ in their antigenicity, level of viremia, severity of disease produced, and response to interferon therapy as described in Holland et al, Pathology, 30(2): 192-195 (1998).
  • the nomenclature set forth in Simmonds et al., J Gen Virol, 74(Ptl l):2391-2399 (1993) is widely used and classifies isolates into six major genotypes, 1 through 6, with two or more related subtypes, e.g., Ia and Ib.
  • genotypes 7-10 and 11 have been proposed, however the phylogenetic basis on which this classification is based has been questioned, and thus types 7, 8, 9 and 11 isolates have been reassigned as type 6, and type 10 isolates as type 3 (see Lamballerie et al., J Gen Virol, 78(Ptl):45-51 (1997)).
  • the major genotypes have been defined as having sequence similarities of between 55 and 72% (mean 64.5%), and subtypes within types as having 75%-86% similarity (mean 80%) when sequenced in the NS-5 region (see Simmonds et al.J Gen Virol, 75(Pt 5): 1053-1061 (1994)).
  • the present methods for treating or preventing HCV infection can further comprise the administration of one or more additional therapeutic agents which are not Substituted Fused Aryl Tricyclic Compounds.
  • the additional therapeutic agent is an antiviral agent.
  • the additional therapeutic agent is an immunomodulatory agent, such as an immunosuppressive agent.
  • the present invention provides methods for treating a viral infection in a patient, the method comprising administering to the patient: (i) at least one Substituted Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt thereof, and (ii) at least one additional therapeutic agent that is other than a Substituted Fused Aryl Tricyclic Compound, wherein the amounts administered are together effective to treat or prevent a viral infection.
  • therapeutic agents in the combination may be administered in any order such as, for example, sequentially, concurrently, together, simultaneously and the like.
  • the amounts of the various actives in such combination therapy may be different amounts (different dosage amounts) or same amounts (same dosage amounts).
  • a Substituted Fused Aryl Tricyclic Compound and an additional therapeutic agent may be present in fixed amounts (dosage amounts) in a single dosage unit ⁇ e.g., a capsule, a tablet and the like).
  • the at least one Substituted Fused Aryl Tricyclic Compound is administered during a time when the additional therapeutic agent(s) exert their prophylactic or therapeutic effect, or vice versa.
  • the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are administered in doses commonly employed when such agents are used as monotherapy for treating a viral infection.
  • the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are administered in doses lower than the doses commonly employed when such agents are used as monotherapy for treating a viral infection.
  • the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) act synergistically and are administered in doses lower than the doses commonly employed when such agents are used as monotherapy for treating a viral infection.
  • the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are present in the same composition.
  • this composition is suitable for oral administration.
  • this composition is suitable for intravenous administration.
  • this composition is suitable for subcutaneous administration.
  • this composition is suitable for parenteral administration.
  • Viral infections and virus-related disorders that can be treated or prevented using the combination therapy methods of the present invention include, but are not limited to, those listed above.
  • the viral infection is HCV infection.
  • the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) can act additively or synergistically.
  • a synergistic combination may allow the use of lower dosages of one or more agents and/or less frequent administration of one or more agents of a combination therapy.
  • a lower dosage or less frequent administration of one or more agents may lower toxicity of therapy without reducing the efficacy of therapy.
  • Tricyclic Compound and the additional therapeutic agent(s) may inhibit the resistance of a viral infection to these agents.
  • Non-limiting examples of additional therapeutic agents useful in the present compositions and methods include an interferon, an immunomodulator, a viral replication inhibitor, an antisense agent, a therapeutic vaccine, a viral polymerase inhibitor, a nucleoside inhibitor, a viral protease inhibitor, a viral helicase inhibitor, a virion production inhibitor, a viral entry inhibitor, a viral assembly inhibitor, an antibody therapy (monoclonal or polyclonal), and any agent useful for treating an RNA-dependent polymerase-related disorder.
  • the additional therapeutic agent is a viral protease inhibitor.
  • the additional therapeutic agent is a viral replication inhibitor.
  • the additional therapeutic agent is an HCV NS 3 protease inhibitor. In still another embodiment, the additional therapeutic agent is an HCV NS5B polymerase inhibitor.
  • the additional therapeutic agent is a nucleoside inhibitor.
  • the additional therapeutic agent is an interferon. In yet another embodiment, the additional therapeutic agent is an HCV replicase inhibitor.
  • the additional therapeutic agent is an antisense agent.
  • the additional therapeutic agent is a therapeutic vaccine.
  • the additional therapeutic agent is a virion production inhibitor.
  • the additional therapeutic agent is an antibody therapy.
  • the additional therapeutic agent is an HCV NS2 inhibitor.
  • the additional therapeutic agent is an HCV NS4A inhibitor. In another embodiment, the additional therapeutic agent is an HCV NS4B inhibitor.
  • the additional therapeutic agent is an HCV NS5A inhibitor
  • the additional therapeutic agent is an HCV NS 3 helicase inhibitor.
  • the additional therapeutic agent is an HCV IRES inhibitor. In another embodiment, the additional therapeutic agent is an HCV p7 inhibitor.
  • the additional therapeutic agent is an HCV entry inhibitor.
  • the additional therapeutic agent is an HCV assembly inhibitor.
  • the additional therapeutic agents comprise a viral protease inhibitor and a viral polymerase inhibitor.
  • the additional therapeutic agents comprise a viral protease inhibitor and an immunomodulatory agent.
  • the additional therapeutic agents comprise a polymerase inhibitor and an immunomodulatory agent. In another embodiment, the additional therapeutic agents comprise a viral protease inhibitor and a nucleoside.
  • the additional therapeutic agents comprise an immunomodulatory agent and a nucleoside. In one embodiment, the additional therapeutic agents comprise an HCV protease inhibitor and an HCV polymerase inhibitor.
  • the additional therapeutic agents comprise a nucleoside and an HCV NS5A inhibitor. In another embodiment, the additional therapeutic agents comprise a viral protease inhibitor, an immunomodulatory agent and a nucleoside.
  • the additional therapeutic agents comprise a viral protease inhibitor, a viral polymerase inhibitor and an immunomodulatory agent.
  • the additional therapeutic agent is ribavirin.
  • HCV polymerase inhibitors useful in the present compositions and methods include, but are not limited to, VP- 19744 (Wyeth/ViroPharma), PSI-7851 (Pharmasset), R7128 (Roche/Pharmasset), PF-868554/filibuvir (Pfizer), VCH-759 (ViroChem Pharma), HCV-796 (Wyeth/ViroPharma), IDX- 184 (Idenix), IDX-375 (Idenix), NM-283 (Idenix/Novartis), R- 1626 (Roche), MK-0608 (Isis/Merck), INX-8014 (Inhibitex), INX-8018 (Inhibitex), INX- 189 (Inhibitex), GS 9190 (Gilead), A-848837 (Abbott), ABT-333 (Abbott), ABT-072 (Abbott), A-837093 (Abbott), BI
  • HCV polymerase inhibitors useful in the present compositions and methods include, but are not limited to, those disclosed in International Publication Nos. WO 08/082484, WO 08/082488, WO 08/083351, WO 08/136815, WO 09/032116, WO 09/032123, WO 09/032124 and WO 09/032125.
  • Interferons useful in the present compositions and methods include, but are not limited to, interferon alfa-2a, interferon alfa-2b, interferon alfacon-1 and PEG-interferon alpha conjugates.
  • PEG-interferon alpha conjugates are interferon alpha molecules covalently attached to a PEG molecule.
  • Illustrative PEG-interferon alpha conjugates include interferon alpha-2a (RoferonTM, Hoffman La-Roche, Nutley, New Jersey) in the form of pegylated interferon alpha-2a (e.g., as sold under the trade name PegasysTM), interferon alpha- 2b (IntronTM, from Schering-Plough Corporation) in the form of pegylated interferon alpha-2b (e.g., as sold under the trade name PEG-Intron M from Schering-Plough Corporation), interferon alpha- 2b-XL (e.g., as sold under the trade name PEG-IntronTM), interferon alpha-2c (Berofor Alpha , Boehringer Ingelheim, Ingelheim, Germany), PEG- interferon lambda (Bristol-Myers Squibb and ZymoGenetics), interferon alfa-2b alpha fusion polypeptides, interferon fused with the human blood
  • Antibody therapy agents useful in the present compositions and methods include, but are not limited to, antibodies specific to IL-IO (such as those disclosed in US Patent Publication No. US2005/0101770, humanized 12G8, a humanized monoclonal antibody against human IL-10, plasmids containing the nucleic acids encoding the humanized 12G8 light and heavy chains were deposited with the American Type Culture Collection (ATCC) as deposit numbers PTA-5923 and PTA-5922, respectively), and the like).
  • IL-IO such as those disclosed in US Patent Publication No. US2005/0101770, humanized 12G8, a humanized monoclonal antibody against human IL-10
  • plasmids containing the nucleic acids encoding the humanized 12G8 light and heavy chains were deposited with the American Type Culture Collection (ATCC) as deposit numbers PTA-5923 and PTA-5922, respectively), and the like).
  • ATCC American Type Culture Collection
  • viral protease inhbitors useful in the present compositions and methods include, but are not limited to, an HCV protease inhibitor.
  • HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Nos. 7,494,988, 7,485,625, 7,449,447, 7,442,695, 7,425,576, 7,342,041, 7,253,160, 7,244,721, 7,205,330, 7,192,957, 7,186,747, 7,173,057, 7,169,760, 7,012,066, 6,914,122, 6,911,428, 6,894,072, 6,846,802, 6,838,475, 6,800,434, 6,767,991, 5,017,380, 4,933,443, 4,812,561 and 4,634,697; U.S. Patent Publication Nos.
  • HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, SCH503034 (Boceprevir, Schering-Plough), SCH900518 (Schering-Plough), VX-950 (Telaprevir, Vertex), VX-500 (Vertex), VX-813 (Vertex), VBY- 376 (Virobay), BI-201335 (Boehringer Ingelheim), TMC-435 (Medivir/Tibotec), ABT-450 (Abbott), MK-7009 (Merck), TMC-435350 (Medivir), ITMN-191/R7227 (InterMune/Roche), EA-058 (Abbott/Enanta), EA-063 (Abbott/Enanta), GS-9132 (Gilead/Achillion), ACH-1095 (Gilead/Achillon), IDX- 136 (Idenix), IDX-316 (Idenix), ITMN-8356 (Inter
  • HCV protease inhbitors useful in the present compositions and methods include, but are not limited to, those disclosed in Landro et al, Biochemistry, 36(31):9340-9348 (1997); Ingallinella et al, Biochemistry, 37(25):8906-8914 (1998); Llinas- Brunet et al, Bioorg Med Chem Lett, 8(13): 1713-1718 (1998); Martin et al, Biochemistry, 37(33): 11459- 11468 (1998); Dimasi et al, J Virol, 71(10):7461-7469 (1997); Martin et al, Protein Eng, 10(5):607-614 (1997); Elzouki et al, JHepat, 27(l):42-48 (1997); BioWorld Today, 9(217):4 (November 10, 1998); U.S.
  • HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, the following compounds:
  • Viral replication inhibitors useful in the present compositions and methods include, but are not limited to, HCV replicase inhibitors, IRES inhibitors, NS4A inhibitors, NS3 helicase inhibitors, NS5A inhibitors, NS5B inhibitors, ribavirin, AZD-2836 (Astra Zeneca), BMS-790052 (Bristol-Myers Squibb, see Gao et al, Nature, 465:96-100 (2010)), viramidine, A-831 (Arrow Therapeutics); an antisense agent or a therapeutic vaccine.
  • HCV NS4A inhibitors useful in the useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Nos. 7,476,686 and 7,273,885; U.S. Patent Publication No. US20090022688; and International Publication Nos. WO
  • HCV NS4A inhibitors useful in the useful in the present compositions and methods include, but are not limited to, AZD2836 (Astra Zeneca) and ACH-806 (Achillon Pharmaceuticals, New Haven, CT).
  • HCV replicase inhibitors useful in the useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Publication No. US20090081636.
  • Therapeutic vaccines useful in the present compositions and methods include, but are not limited to, IC41 (Intercell Novartis), CSL123 (Chiron/CSL), GI 5005 (Glo situmune), TG-4040 (Transgene), GNI- 103 (GENimmune), Hepavaxx C (ViRex Medical), ChronVac-C (Inovio/Tripep), PeviPROTM (Pevion Biotect), HCV/MF59 (Chiron/Novartis) and Civacir (NABI).
  • compositions and methods examples include, but are not limited to, Ritonavir (Abbott), TT033 (Benitec/Tacere Bio/Pfizer), Sirna-034 (Sirna Therapeutics), GNI- 104 (GENimmune), GI-5005
  • the doses and dosage regimen of the other agents used in the combination therapies of the present invention for the treatment or prevention of HCV infection can be determined by the attending clinician, taking into consideration the approved doses and dosage regimen in the package insert; the age, sex and general health of the patient; and the type and severity of the viral infection or related disease or disorder.
  • the Substituted Fused Aryl Tricyclic Compound(s) and the other agent(s) can be administered simultaneously (i.e., in the same composition or in separate compositions one right after the other) or sequentially.
  • kits comprising the separate dosage forms is therefore advantageous.
  • a total daily dosage of the at least one Substituted Fused Aryl Tricyclic Compound(s) alone, or when administered as combination therapy can range from about 1 to about 2500 mg per day, although variations will necessarily occur depending on the target of therapy, the patient and the route of administration.
  • the dosage is from about 10 to about 1000 mg/day, administered in a single dose or in 2-4 divided doses.
  • the dosage is from about 1 to about 500 mg/day, administered in a single dose or in 2-4 divided doses.
  • the dosage is from about 1 to about 100 mg/day, administered in a single dose or in 2-4 divided doses.
  • the dosage is from about 1 to about 50 mg/day, administered in a single dose or in 2-4 divided doses. In another embodiment, the dosage is from about 500 to about 1500 mg/day, administered in a single dose or in 2-4 divided doses. In still another embodiment, the dosage is from about 500 to about 1000 mg/day, administered in a single dose or in 2-4 divided doses. In yet another embodiment, the dosage is from about 100 to about 500 mg/day, administered in a single dose or in 2-4 divided doses.
  • the additional therapeutic agent is INTRON-A interferon alpha 2b (commercially available from Schering-Plough Corp.)
  • this agent is administered by subcutaneous injection at 3MIU(12 mcg)/0.5mL/TIW for 24 weeks or 48 weeks for first time treatment.
  • the additional therapeutic agent when the additional therapeutic agent is PEG-INTRON interferon alpha 2b pegylated (commercially available from Schering-Plough Corp.), this agent is administered by subcutaneous injection at 1.5 mcg/kg/week, within a range of 40 to 150 meg/week, for at least 24 weeks.
  • the additional therapeutic agent when the additional therapeutic agent is ROFERON A interferon alpha 2a (commercially available from Hoffmann-La Roche), this agent is administered by subcutaneous or intramuscular injection at 3MIU(11.1 mcg/mL)/TIW for at least 48 to 52 weeks, or alternatively 6MIU/T ⁇ W for 12 weeks followed by 3MIU/TIW for 36 weeks.
  • the additional therapeutic agent is PEGASUS interferon alpha 2a pegylated (commercially available from Hoffmann-La Roche)
  • this agent is administered by subcutaneous injection at 180 mcg/lmL or 180 mcg/0.5mL, once a week for at least 24 weeks.
  • the additional therapeutic agent when the additional therapeutic agent is INFERGEN interferon alphacon-1 (commercially available from Amgen), this agent is administered by subcutaneous injection at 9 mcg/TIW is 24 weeks for first time treatment and up to 15 mcg/TIW for 24 weeks for non-responsive or relapse treatment.
  • the additional therapeutic agent when the additional therapeutic agent is Ribavirin (commercially available as REBETOL ribavirin from Schering-Plough or COPEGUS ribavirin from Hoffmann-La Roche), this agent is administered at a daily dosage of from about 600 to about 1400 mg/day for at least 24 weeks.
  • one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from: an interferon, an immunomodulator, a viral replication inhibitor, an antisense agent, a therapeutic vaccine, a viral polymerase inhibitor, a nucleoside inhibitor, a viral protease inhibitor, a viral helicase inhibitor, a viral polymerase inhibitor a virion production inhibitor, a viral entry inhibitor, a viral assembly inhibitor, an antibody therapy (monoclonal or polyclonal), and any agent useful for treating an RNA-dependent polymerase-related disorder.
  • additional therapeutic agents selected from: an interferon, an immunomodulator, a viral replication inhibitor, an antisense agent, a therapeutic vaccine, a viral polymerase inhibitor, a nucleoside inhibitor, a viral protease inhibitor, a viral helicase inhibitor, a viral polymerase inhibitor a virion production inhibitor, a viral entry inhibitor, a viral assembly inhibitor, an antibody therapy (monoclonal or polyclonal), and any agent useful for treating
  • one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV protease inhibitor, an HCV polymerase inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin.
  • the combination therapies can include any combination of these additional therapeutic agents.
  • one or more compounds of the present invention are administered with one additional therapeutic agent selected from an HCV protease inhibitor, an interferon, a pegylated interferon and ribavirin.
  • one or more compounds of the present invention are administered with two additional therapeutic agents selected from an HCV protease inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin.
  • one or more compounds of the present invention are administered with an HCV protease inhibitor and ribavirin. In another specific embodiment, one or more compounds of the present invention are administered with a pegylated interferon and ribavirin.
  • one or more compounds of the present invention are administered with three additional therapeutic agents selected from an HCV protease inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin.
  • one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and ribavirin.
  • one or more compounds of the present invention are administered with one additional therapeutic agent selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with ribavirin.
  • one or more compounds of the present invention are administered with two additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor.
  • one or more compounds of the present invention are administered with ribavirin, interferon and another therapeutic agent.
  • one or more compounds of the present invention are administered with ribavirin, interferon and another therapeutic agent, wherein the additional therapeutic agent is selected from an HCV polymerase inhibitor, a viral protease inhibitor, and a viral replication inhibitor.
  • one or more compounds of the present invention are administered with ribavirin, interferon and a viral protease inhibitor.
  • one or more compounds of the present invention are administered with ribavirin, interferon and an HCV protease inhibitor.
  • one or more compounds of the present invention are administered with ribavirin, interferon and boceprevir or telaprevir.
  • one or more compounds of the present invention are administered with ribavirin, interferon and an HCV polymerase inhibitor.
  • one or more compounds of the present invention are administered pegylated- interferon alpha and ribavirin.
  • the Fused Aryl Tricyclic Compounds are useful in veterinary and human medicine. As described above, the Fused Aryl Tricyclic Compounds are useful for treating or preventing HCV infection in a patient in need thereof.
  • the Fused Aryl Tricyclic Compounds can be administered as a component of a composition that comprises a pharmaceutically acceptable carrier or vehicle.
  • the present invention provides pharmaceutical compositions comprising an effective amount of at least one Fused Aryl Tricyclic Compound and a pharmaceutically acceptable carrier.
  • the active ingredients will typically be administered in admixture with suitable carrier materials suitably selected with respect to the intended form of administration, i.e., oral tablets, capsules (either solid-filled, semi-solid filled or liquid filled), powders for constitution, oral gels, elixirs, dispersible granules, syrups, suspensions, and the like, and consistent with conventional pharmaceutical practices.
  • the active drug component may be combined with any oral non-toxic pharmaceutically acceptable inert carrier, such as lactose, starch, sucrose, cellulose, magnesium stearate, dicalcium phosphate, calcium sulfate, talc, mannitol, ethyl alcohol (liquid forms) and the like.
  • Solid form preparations include powders, tablets, dispersible granules, capsules, cachets and suppositories. Powders and tablets may be comprised of from about 0.5 to about 95 percent inventive composition. Tablets, powders, cachets and capsules can be used as solid dosage forms suitable for oral administration.
  • suitable binders include starch, gelatin, natural sugars, corn sweeteners, natural and synthetic gums such as acacia, sodium alginate, carboxymethyl cellulose, polyethylene glycol and waxes.
  • lubricants there may be mentioned for use in these dosage forms, boric acid, sodium benzoate, sodium acetate, sodium chloride, and the like.
  • Disintegrants include starch, methylcellulose, guar gum, and the like. Sweetening and flavoring agents and preservatives may also be included where appropriate.
  • Liquid form preparations include solutions, suspensions and emulsions and may include water or water- propylene glycol solutions for parenteral injection.
  • Liquid form preparations may also include solutions for intranasal administration. Aerosol preparations suitable for inhalation may include solutions and solids in powder form, which may be in combination with a pharmaceutically acceptable carrier, such as an inert compressed gas. Also included are solid form preparations which are intended to be converted, shortly before use, to liquid form preparations for either oral or parenteral administration. Such liquid forms include solutions, suspensions and emulsions.
  • a low melting wax such as a mixture of fatty acid glycerides or cocoa butter is first melted, and the active ingredient is dispersed homogeneously therein as by stirring. The molten homogeneous mixture is then poured into convenient sized molds, allowed to cool and thereby solidify.
  • compositions of the present invention may be formulated in sustained release form to provide the rate controlled release of any one or more of the components or active ingredients to optimize therapeutic effects, i.e., antiviral activity and the like.
  • Suitable dosage forms for sustained release include layered tablets containing layers of varying disintegration rates or controlled release polymeric matrices impregnated with the active components and shaped in tablet form or capsules containing such impregnated or encapsulated porous polymeric matrices.
  • the one or more Fused Aryl Tricyclic Compounds are administered orally.
  • the one or more Fused Aryl Tricyclic Compounds are administered intravenously.
  • the one or more Fused Aryl Tricyclic Compounds are administered topically.
  • the one or more Fused Aryl Tricyclic Compounds are administered sublingually.
  • a pharmaceutical preparation comprising at least one Fused Aryl Tricyclic Compound is in unit dosage form.
  • the preparation is subdivided into unit doses containing effective amounts of the active components.
  • compositions can be prepared according to conventional mixing, granulating or coating methods, respectively, and the present compositions can contain, in one embodiment, from about 0.1% to about 99% of the Fused Aryl Tricyclic Compound(s) by weight or volume. In various embodiments, the present compositions can contain, in one embodiment, from about 1% to about 70% or from about 5% to about 60% of the Fused Aryl Tricyclic Compound(s) by weight or volume.
  • the quantity of Fused Aryl Tricyclic Compound in a unit dose of preparation may be varied or adjusted from about 1 mg to about 2500 mg. In various embodiment, the quantity is from about 10 mg to about 1000 mg, 1 mg to about 500 mg, 1 mg to about 100 mg, and 1 mg to about 100 mg.
  • the total daily dosage may be divided and administered in portions during the day if desired. In one embodiment, the daily dosage is administered in one portion. In another embodiment, the total daily dosage is administered in two divided doses over a 24 hour period. In another embodiment, the total daily dosage is administered in three divided doses over a 24 hour period, hi still another embodiment, the total daily dosage is administered in four divided doses over a 24 hour period.
  • the amount and frequency of administration of the Fused Aryl Tricyclic Compounds will be regulated according to the judgment of the attending clinician considering such factors as age, condition and size of the patient as well as severity of the symptoms being treated.
  • a total daily dosage of the Fused Aryl Tricyclic Compounds range from about 0.1 to about 2000 mg per day, although variations will necessarily occur depending on the target of therapy, the patient and the route of administration. In one embodiment, the dosage is from about 1 to about 200 mg/day, administered in a single dose or in 2-4 divided doses.
  • the dosage is from about 10 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses, hi another embodiment, the dosage is from about 100 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses, hi still another embodiment, the dosage is from about 500 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses.
  • compositions of the invention can further comprise one or more additional therapeutic agents, selected from those listed above herein. Accordingly, in one embodiment, the present invention provides compositions comprising: (i) at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof; (ii) one or more additional therapeutic agents that are not a Fused Aryl Tricyclic Compound; and (iii) a pharmaceutically acceptable carrier, wherein the amounts in the composition are together effective to treat HCV infection.
  • kits hi one aspect the present invention provides a kit comprising a therapeutically effective amount of at least one Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt of said compound and a pharmaceutically acceptable carrier, vehicle or diluent.
  • the present invention provides a kit comprising an amount of at least one Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt of said compound and an amount of at least one additional therapeutic agent listed above, wherein the amounts of the two or more active ingredients result in a desired therapeutic effect.
  • the one or more Fused Aryl Tricyclic Compounds and the one or more additional therapeutic agents are provided in the same container.
  • the one or more Fused Aryl Tricyclic Compounds and the one or more additional therapeutic agents are provided in separate containers.

Abstract

The present invention relates to novel Fused Tricyclic Aryl Compounds, compositions comprising at least one Fused Tricyclic Aryl Compound, and methods of using the Fused Tricyclic Aryl Compounds for treating or preventing HCV infection in a patient.

Description

FUSED TRICYCLIC ARYL COMPOUNDS USEFUL FOR THE TREATMENT OF
VIRAL DISEASES
FIELD OF THE INVENTION
The present invention relates to novel Fused Tricyclic Aryl Compounds, compositions comprising at least one Fused Tricyclic Aryl Compound, and methods of using Fused Tricyclic Aryl Compounds for treating or preventing HCV infection in a patient.
BACKGROUND OF THE INVENTION
Hepatitis C virus (HCV) is a major human pathogen. A substantial fraction of these HCV-infected individuals develop serious progressive liver disease, including cirrhosis and hepatocellular carcinoma, which are often fatal. HCV is a (+)-sense single- stranded enveloped RNA virus that has been implicated as the major causative agent in non-A, non-B hepatitis (NANBH), particularly in blood-associated NANBH (BB-NANBH) (see,
International Publication No. WO 89/04669 and European Patent Publication No. EP 381 216). NANBH is to be distinguished from other types of viral-induced liver disease, such as hepatitis A virus (HAV), hepatitis B virus (HBV), delta hepatitis virus (HDV), cytomegalovirus (CMV) and Epstein-Barr virus (EBV), as well as from other forms of liver disease such as alcoholism and primary biliar cirrhosis.
It is well-established that persistent infection of HCV can result in chronic hepatitis, and as such, inhibition of HCV replication is a viable strategy for the prevention of hepatocellular carcinoma. Current therapies for HCV infection include α-interferon monotherapy and combination therapy comprising α-interferon and ribavirin. These therapies have been shown to be effective in some patients with chronic HCV infection, but suffer from poor efficacy and unfavorable side-effects and there are currently efforts directed to the discovery of HCV replication inhibitors that are useful for the treatment and prevention of HCV related disorders.
Current research efforts directed toward the treatment of HCV includes the use of antisense oligonucleotides, free bile acids (such as ursodeoxycholic acid and chenodeoxycholic acid) and conjugated bile acids (such as tauroursodeoxycholic acid). Phosphonoformic acid esters have also been proposed as potentially useful for the treatment of various viral infections, including HCV. Vaccine development, however, has been hampered by the high degree of viral strain heterogeneity and immune evasion and the lack of protection against reinfection, even with the same inoculum.
In light of these treatment hurdles, the development of small-molecule inhibitors directed against specific viral targets has become a major focus of anti-HCV research. The determination of crystal structures for NS3 protease, NS3 RNA helicase, NS5A, and NS5B polymerase, with and without bound ligands, has provided important structural insights useful for the rational design of specific inhibitors.
Inhibitors of HCV NS5A have demonstrated efficacy in treating HCV infection in humans. HCV NS5A is a 447 amino acid phosphoprotein which currently lacks a defined enzymatic function. It migrates as 56kd and 58kd bands on gels depending on phosphorylation state (Tanji, et al. J. Virol. 69:3980-3986 (1995)). HCV NS5A resides in a replication complex and may be responsible for the switch from replication of RNA to production of infectious virus (Huang, Y, et al., Virology 364:1-9 (2007)).
Multicyclic HCV NS5A inhibitors have been reported. See U.S. Patent Publication Nos. US2OO8O311075, US20080044379, US20080050336, US20080044380, US20090202483 and US2009020478.
Other NS5A inhibitors and their use for reducing viral load in HCV infected humans have been described in U.S. Patent Publication No. US20060276511.
Despite the intensive effort directed at the treatment and prevention of HCV and related viral infections, there exists a need in the art for small-molecule compounds having desirable or improved physicochemical properties that are useful for inhibiting viruses and treating viral infections and virus-related disorders. This invention addresses that need.
SUMMARY OF THE INVENTION In one aspect, the present invention provides Compounds of Formula (I):
Figure imgf000003_0001
and pharmaceutically acceptable salts thereof, wherein each dotted line represents an optional and additional bond, such that only one optional and additional bond can be attached to each of Y and Y", and wherein:
A is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R' groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group or said heteroaryl group can be optionally and independently substituted on one or more ring nitrogen atoms with R and on one or more ring carbon atoms with R ; D is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R4 groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group, or said heteroaryl group can be optionally and independently substituted on one or more ring nitrogen atoms with R2 and on one or more ring carbon atoms with R4;
L1 is a bond, -[C(R13)2]q-, -[C(R13)2]m-C(R13)=C(R13)-[C(R13)2]ra-, -[C(Rl 3)2lm- (C≡C)q-[C(R13)2]m-, -[C(R13)2]m-O-[C(R13)2]m-, -[C(R13)2]m-N(R14)-[C(R13)2]m-, -[C(R13)2]m- C(O)N(R14)-[C(Rl3)2]m-, -[C(Rl 3)2]m-N(R14)C(O)-lC(R13)2Jm-, -OC(O)N(R14)-, - N(R14)C(O)O-, -N(R14)C(O)N(R14)-, -[C(R13)2]mS(O)2[C(R13)2lm-, -S(O)2N(R14) [C(R13)2]m- , -[C(R13)2]mN(R14)S(O)2- or -N(R14)S(O)2N(R14)-, -C(O)-, -CF2-, such that when L1 is linked to a ring nitrogen atom of A, then L is joined via one of its carbon atoms;
L2 is a bond, -[C(R13)2]q-, -[C(R13)2]m-C(R13)=C(R13)-[C(R13)2]m-, -[C(R13)2]m- (C≡C)q-[C(R13)2]m-, -lC(R13)2]m-O-[C(R13)2]m-, -[C(R13)2Jm-N(R14)-[C(R13)2]m-, -[C(R13)2]m- C(O)N(R14)-[C(R13)2]m-, -[C(R13)2]m-N(R14)C(O)-[C(R13)2Jm-, -OC(O)N(R14)-, - N(R14)C(O)O-, -N(R14)C(O)N(R14)-, -[C(R13)2]mS(O)2[C(Rl 3)2]m-, -S(O)2N(R14) [C(R13)2]m- , -[C(R13)2]mN(R14)S(O)2- or -N(R14)S(O)2N(R14)-, -C(O)-, -CF2-, such that when L2 is linked to a ring nitrogen atom of D, then L is joined via one of its carbon atoms; M1 Is -C(R17V Or -N-; M2 is -C(R17)- or -N-; X1 is -lC(R12)]q-, -C(R12)=C(R12)-, -N=C(R12)-, -C(R12)=N-, -[C(R12)]nO-[C(R12)]n-,
-[C(R12)]nN(R10)[C(R12)]n-, -N(R10)C(O)N(R10)-, -[C(R12)]nS(O)n[C(R12)]n-, -S(O)2N(R10)-, or -N(R10)S(O)2- when the optional and additional bond to X1 is not present, and X1 is - C(R )- or -N- when the optional and additional bond to X1 is present; X2 is -[C(R12)1C, -C(R12)=C(R12)-, -N=C(R12)-, -C(R12)=N-, -[C(R12)]nO-[C(R12)]n-, -[C(R12)]nN(Rl0)[C(R12)]n-, -N(R10)C(O)N(R10)-, -[C(R12)]nS(O)n[C(R12)]n-, -S(O)2N(R10)-, or -N(R10)S(O)2- when the optional and additional bond to X2 is not present, and X2 is - C(R12)- or -N- when the optional and additional bond to X2 is present; Y1 is -C- when an optional and additional bond to Y1 is present, and Y1 is -CH- when an optional and additional bond to Y1 is absent;
Y~ is -C- when an optional and additional bond to Y is present, and Y is -CH- when an optional and additional bond to Y2 is absent;
Z1 is -[C(R12)]q-, -C(R12)=C(R12)-, -N=C(R12)-, -C(R12)=N-, -[C(R12)lnO-[C(R12)]n-, -[C(R12)]nN(R10)lC(R12)]n-, -N(R10)C(O)N(R10)-, -[C(R12)]nS(O)n[C(R12)ln-, -S(O)2N(R10)-, or -N(R10)S(O)2- when the optional and additional bond to Z1 is not present, and Z1 is -
\ 0 1
C(R )- or -N- when the optional and additional bond to Z is present; such that the ring containing variables X1, Y1 and Z1 has from 5 to 8 ring atoms;
Zz is -[C(R'%-, -C(R1 Z)=C(R'>, -N=C(R'>, -C(R1Z)=N-, -[C(R1OlnO-[C(R 112^x]n-, -lC(R12)JnN(R10)[C(Rl2)]n-, -N(R10)C(O)N(R10)-, -[C(R12)JnS(O)JC(R12)]n-, -S(O)2N(R10)-, or -N(R10)S(O)2- when the optional and additional bond to Z2 is not present, and Z2 is - C(R12)- or -N- when the optional and additional bond to Z2 is present; such that the ring containing variables X2, Y2 and Z2 has from 5 to 8 ring atoms; each occurrence of R1 is independently -R5, -Cj-C6 alkyl, -Ci-C6 haloalkyl, - [C(R12)2]p-(3 to 7-membered cycloalkyl) or -[C(R12)2lp-(4 to 7-membered heterocycloalkyl), wherein said Ci-C6 alkyl group, said C)-C6haloalkyl group, said 3 to 7-membered cycloalkyl group or said 4 to 7-membered heterocycloalkyl group can be optionally and independently substituted with up to two R5 groups; each occurrence of R is independently -R , -Ci-C6 alkyl, -Ci-C6 haloalkyl, - [C(R12)2]p-(3 to 7-membered cycloalkyl) or -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), wherein said Ci-C6 alkyl group, said Ci -C6 haloalkyl group, said 3 to 7-membered cycloalkyl group or said 4 to 7-membered heterocycloalkyl group can be optionally and independently substituted with up to two R5 groups; each occurrence of R3 is independently -R5, -[C(R12)2]P-R5, -[C(R12)2]POR5, - [C(R12)21POC(O)R5, -[C(R12)2]PN(R1O)R5, -[C(R12)2]p-(3 to 7-membered cycloalkyl), -
[C(R12)2]p-(3 to 7-membered heterocycloalkyl), -[C(R12)2]p-aryl or -[C(R12)2Jp-heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 3 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to four R groups, such that two R5 groups on different carbon atoms of the same R group can combine to form a CpC3 alkylene group between the carbon atoms to which the two said R5 groups are attached, and wherein said 3 to 7-membered cycloalkyl group and said 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R4 is independently -R5, -[C(R12)2]P-R5, -fC(R12)2]pOR5, - [C(R12)2JPOC(O)R5, -[C(R12)21PN(R1O)R5, -LC(R12)2]p-(3 to 7-membered cycloalkyl), - [C(R12)2]p-(3 to 7-membered heterocycloalkyl), -[C(R12)2Jp-aryl or -[C(R12)2]p-heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 3 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to four R5 groups, such that two R5 groups on different carbon atoms of the same R group can combine to form a Ci-C3 alkylene group between the carbon atoms to which the two said R5 groups are attached, and wherein said 3 to 7-membered cycloalkyl group and said 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R5 is independently H, -[C(R12)2]p-alkyl, -[C(R12)2]p-haloalkyl, - [C(R12)2Jp-(3 to 7-membered cycloalkyl), -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), - LC(R12)2]p-aryl, -[C(R12)2]p-heteroaryl, -[C(R12)2]P-C(O)R12 -[C(R12)2]POR10, - [C(R12)2]POC(O)R12, -[C(R12)2JPN(R1O)2, -[C(R12)2]pN(R10)C(O)R12, -[C(R12^pS(O)2R1 ', - [QR'^JpNtR'^StO^R11 , -[C(R12)2JpS(O)2(R11)N(R10), -C(O)-[C(R12)2]qN(R10)2, -C(O)- [C(R12)2JqN(R10)C(O)alkyl, -C(O)[C(R12)2]qN(R10)C(O)Oalkyl, -C(O)- [C(R12)2JqN(R10)C(O)Ocycloalkyl, -C(O)-[C(R12)2]qN(R10)S(O)2Rn or -C(S)- [C(R12)2]qN(R10)C(O)R6, such that when an R5 group is attached to a nitrogen atom of an A, D, R1, R2, R3 or R4 group, the R5 group must be joined via one of its carbon or sulfur atoms; each occurrence of R6 is independently H, -Ci-C6 alkyl, halo, -OH, -Ci-C6 hydroxyalkyl, -N(R15)2, -OR16, -CN, -C(O)OH, -Ci-C6 haloalkyl, -C(O)-(Ci-C6 alkyl), - C(O)OR14, -C(O)N(R15)2, -0-C(O)R14, -O-C(O)N(R15)2, -N(R14)C(O)-(d-C6 alkyl), -NHSO2- (C1-C6 alkyl), -SO2-(C1-C6 alkyl), -SO2NH-(C1-C6 alkyl), -(C, -C6 alkylene)-O-(d -C6 alkyl), - (C1-C6 alkylene)-N(R15)2, -(C1-C6 alkylene)-S(O)2-(d -C6 alkyl), -(C1-C6 alkylene)-R14, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R10 is independently H, -C1-C6 alkyl, -C2-C6 alkenyl, -C2-C6 alkynyl, -[C(R12)2]p-(3 to 7-membered cycloalkyl), -[C(R12)2Jp-(4 to 7-membered heterocycloalkyl), -[C(R12)2]p-aryl, -[C(R12)2Jp-heteroaryl, -C [-C6 haloalkyl or -C1-C6 hydroxyalkyl, wherein said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to two R1 groups, and wherein two R10 groups that are attached to a common nitrogen atom, together with the nitrogen atom to which they are attached, can join to form a 4 to 7-membered heterocycloalkyl group; each occurrence of R1 ' is independently -Ci-C6 alkyl, [C(R12)2jp-(3 to 7-membered cycloalkyl), -[C(R12)2Jp-(4 to 7-membered heterocycloalkyl), -[C(R12)2]p-aryl, -[C(R12)2]P- heteroaryl, -C-Cόhaloalkyl or -Ci-C6 hydroxyalkyl, wherein said Ci-C6 alkyl group, said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to two R13 groups; each occurrence of R12 is independently H, halo, -C-C6haloalkyl, -CN, -Ci-C6 alkyl, -Ci-C6 alkylene-OR16, -Ci-C6 alkylene-N(R15)2, -C(O)-(Ci-C6 alkyl), -C(O)OH, - C(O)N(R15)2, -OR16, -N(R15)2, -NHC(O)-(Ci-C6 alkyl), -NHSO2-(C ,-C6 alkyl), 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to 3 substituents, which can be the same or different, and are selected from Ci-C6 alkyl, halo, -C1- C6 haloalkyl, -C, -C6 hydroxyalkyl, -OH, -C(O)NH-(Ci-C6 alkyl), -C(O)N(C-C6 alkyl)2, -O- (Ci-C6 alkyl), -NH2, -NH(Ci-C6 alkyl), -N(Ci-C6 alkyl)2 and -NHC(O)-(Ci-C6 alkyl), and wherein two geminal R " groups, together with the common carbon atom to which they are attached, can join to form -C(O)-, -C(S)-, a 3 to 7-membered cycloalkyl group or a 4 to 7- membered heterocycloalkyl group, such that no two adjacent -C(R12)2- groups can join to form a -C(O)-C(O)-, -C(S)-C(S)-, -C(O)-C(S)- or -C(S)-C(O)- group; each occurrence of R13 is independently H, -Ci-C6haloalkyl, -Cj-C6 alkyl, -(Ci-C6 alkylene)-O-(Ci -C6 alkyl), -C, -C6 hydroxyalkyl, -(C,-C6 alkylene)-NH-(C, -C6 alkyl), -C(O)- (Ci-C6 alkyl), -C(O)O(C-C6 alkyl), -C(O)OH or -C(O)NH-(C-C6 alkyl); each occurrence of R14 is independently H, -Cj-C6 alkyl, 3 to 6-membered cycloalkyl or 4 to 6-membered heterocycloalkyl; each occurrence of R15 is independently H, -Ci-C6 alkyl, -Ci-C6 haloalkyl, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl, such that two R15 groups that are attached to a common nitrogen atom, together with the nitrogen atom to which they are attached, can join to form a 4 to 7-membered heterocycloalkyl group; each occurrence of R16 is independently H, -Cj-C6 alkyl, -Ci-C6 haloalkyl, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R17 is independently H, -Ci-C6 alkyl, halo, -Ci-C6 haloalkyl, or 3 to 7-membered cycloalkyl; each occurrence of m is independently an integer ranging from 0 to 2; each occurrence of n is independently an integer ranging from 0 to 2; each occurrence of p is independently an integer ranging from 0 to 3; and each occurrence of q is independently an integer ranging from 1 to 3.
The Compounds of Formula (I) (also referred to herein as the "Fused Aryl Tricyclic
Compounds") and pharmaceutically acceptable salts thereof can be useful, for example, for inhibiting HCV viral replication or replicon activity, and for treating or preventing HCV infection in a patient.
The Fused Aryl Tricyclic Compounds or pharmaceutically acceptable salts thereof can also be useful for treating or preventing HCV infection in a patient.
Accordingly, the present invention provides methods for treating or preventing HCV infection in a patient, comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound.
The present invention also provides pharmaceutical compositions comprising an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier. The compositions can be useful for treating or preventing HCV infection in a patient.
The details of the invention are set forth in the accompanying detailed description below. Although any methods and materials similar to those described herein can be used in the practice or testing of the present invention, illustrative methods and materials are now described. Other embodiments, aspects and features of the present invention are either further described in or will be apparent from the ensuing description, examples and appended claims.
DETAILED DESCRIPTION OF THE INVENTION
The present invention provides Fused Tricyclic Aryl Compounds, pharmaceutical compositions comprising at least one Fused Tricyclic Aryl Compound, and methods of using the Fused Tricyclic Aryl Compounds for treating or preventing a viral infection or a virus- related disorder in a patient.
Definitions and Abbreviations The terms used herein have their ordinary meaning and the meaning of such terms is independent at each occurrence thereof. That notwithstanding and except where stated otherwise, the following definitions apply throughout the specification and claims. Chemical names, common names, and chemical structures may be used interchangeably to describe the same structure. If a chemical compound is referred to using both a chemical structure and a chemical name and an ambiguity exists between the structure and the name, the structure predominates. These definitions apply regardless of whether a term is used by itself or in combination with other terms, unless otherwise indicated. Hence, the definition of "alkyl" applies to "alkyl" as well as the "alkyl" portions of "hydroxyalkyl," "haloalkyl," "-O-alkyl," etc... As used herein, and throughout this disclosure, the following terms, unless otherwise indicated, shall be understood to have the following meanings:
A "patient" is a human or non-human mammal. In one embodiment, a patient is a human. In another embodiment, a patient is a chimpanzee.
The term "effective amount" as used herein, refers to an amount of Fused Aryl Tricyclic Compound and/or an additional therapeutic agent, or a composition thereof that is effective in producing the desired therapeutic, ameliorative, inhibitory or preventative effect when administered to a patient suffering from HCV infection. In the combination therapies of the present invention, an effective amount can refer to each individual agent or to the combination as a whole, wherein the amounts of all agents administered are together effective, but wherein the component agent of the combination may not be present individually in an effective amount.
The term "preventing," as used herein with respect to an HCV viral infection or HCV- virus related disorder, refers to reducing the likelihood of HCV infection.
The term "alkyl," as used herein, refers to an aliphatic hydrocarbon group having one of its hydrogen atoms replaced with a bond. An alkyl group may be straight or branched and contain from about 1 to about 20 carbon atoms. In one embodiment, an alkyl group contains from about 1 to about 12 carbon atoms. In another embodiment, an alkyl group contains from about 1 to about 6 carbon atoms. Non-limiting examples of alkyl groups include methyl, ethyl, n-propyl, isopropyl, n- butyl, sec-butyl, isobutyl, tert-butyl, n-pentyl, neopentyl, isopentyl, n-hexyl, isohexyl and neohexyl. An alkyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene- O- alkyl, alkylthio, -NH2, -
NH(alkyl), -N(alkyl)2, -NH(cycloalkyl), -O-C(O)-alkyl, -O-C(O)-aryl, -O-C(O)-cycloalkyl, - C(O)OH and -C(O)O-alkyl. In one embodiment, an alkyl group is unsubstituted. hi another embodiment, an alkyl group is linear. In another embodiment, an alkyl group is branched. The term "Ci-C6 alkyl" refers to an alkyl group having from 1 to 6 carbon atoms. Unless otherwise indicated, an alkyl group is unsubstituted.
The term "alkenyl," as used herein, refers to an aliphatic hydrocarbon group containing at least one carbon-carbon double bond and having one of its hydrogen atoms replaced with a bond. An alkenyl group may be straight or branched and contain from about 2 to about 15 carbon atoms. In one embodiment, an alkenyl group contains from about 2 to about 12 carbon atoms. In another embodiment, an alkenyl group contains from about 2 to about 6 carbon atoms. Non-limiting examples of alkenyl groups include ethenyl, propenyl, n- butenyl, 3-methylbut-2-enyl, n-pentenyl, octenyl and decenyl. An alkenyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene-O-alkyl, alkylthio, - NH2, -NH(alkyl), -N(alkyl)2, -NH(cycloalkyl), -O-C(O)-alkyl, -O-C(O)-aryl, -0-C(O)- cycloalkyl, -C(O)OH and -C(O)O-alkyl. In one embodiment, an alkenyl group is unsubstituted. The term "C2-C6 alkenyl" refers to an alkenyl group having from 2 to 6 carbon atoms. Unless otherwise indicated, an alkenyl group is unsubstituted. The term "alkynyl," as used herein, refers to an aliphatic hydrocarbon group containing at least one carbon-carbon triple bond and having one of its hydrogen atoms replaced with a bond. An alkynyl group may be straight or branched and contain from about 2 to about 15 carbon atoms. In one embodiment, an alkynyl group contains from about 2 to about 12 carbon atoms, hi another embodiment, an alkynyl group contains from about 2 to about 6 carbon atoms. Non-limiting examples of alkynyl groups include ethynyl, propynyl, 2-butynyl and 3-methylbutynyl. An alkynyl group may be unsubstituted or substituted by one or more substituents which may be the same or different, each substituent being independently selected from the group consisting of halo, alkenyl, alkynyl, aryl, cycloalkyl, cyano, hydroxy, -O-alkyl, -O-aryl, -alkylene-O-alkyl, alkylthio, -NH2, -NH(alkyl), - N(alkyl)2, -NH(cycloalkyl), -O-C(O)-alkyl, -O-C(O)-aryl, -O-C(O)-cycloalkyl, -C(O)OH and -C(O)O-alkyl. In one embodiment, an alkynyl group is unsubstituted. The term "C2-C6 alkynyl" refers to an alkynyl group having from 2 to 6 carbon atoms. Unless otherwise indicated, an alkynyl group is unsubstituted.
The term "alkylene," as used herein, refers to an alkyl group, as defined above, wherein one of the alkyl group's hydrogen atoms has been replaced with a bond. Non- limiting examples of alkylene groups include -CH?-, -CH2CH2-, -CH2CH2CH2-, - CH2CH2CH2CH2-, -CH(CH3)CH2CH2-, -CH(CH3)- and -CH2CH(CH3)CH2-. In one embodiment, an alkylene group has from 1 to about 6 carbon atoms. In another embodiment, an alkylene group is branched. In another embodiment, an alkylene group is linear. In one embodiment, an alkylene group is -CH2-. The term "Ci-C6 alkylene" refers to an alkylene group having from 1 to 6 carbon atoms.
The term "aryl," as used herein, refers to an aromatic monocyclic or multicyclic ring system comprising from about 6 to about 14 carbon atoms. In one embodiment, an aryl group contains from about 6 to about 10 carbon atoms. An aryl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. In one embodiment, an aryl group can be optionally fused to a cycloalkyl or cycloalkanoyl group. Non-limiting examples of aryl groups include phenyl and naphthyl. In one embodiment, an aryl group is unsubstituted. In another embodiment, an aryl group is phenyl. Unless otherwise indicated, an aryl group is unsubstituted.
The term "arylene," as used herein, refers to a bivalent group derived from an aryl group, as defined above, by removal of a hydrogen atom from a ring carbon of an aryl group. An arylene group can be derived from a monocyclic or multicyclic ring system comprising from about 6 to about 14 carbon atoms. In one embodiment, an arylene group contains from about 6 to about 10 carbon atoms. In another embodiment, an arylene group is a naphthylene group. In another embodiment, an arylene group is a phenylene group. An arylene group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. An arylene group is divalent and either available bond on an arylene group can connect to either group flanking the arylene group. For example, the group "A-arylene-B," wherein the arylene group is:
Figure imgf000012_0001
is understood to represent both:
Figure imgf000012_0002
In one embodiment, an arylene group can be optionally fused to a cycloalkyl or cycloalkanoyl group. Non-limiting examples of arylene groups include phenylene and naphthalene. Unless otherwise indicated, an arylene group is unsubstituted. In one embodiment, an arylene group is unsubstituted. In another embodiment, an arylene group is:
Figure imgf000012_0003
The term "cycloalkyl," as used herein, refers to a non- aromatic mono- or multicyclic ring system comprising from about 3 to about 10 ring carbon atoms. In one embodiment, a cycloalkyl contains from about 5 to about 10 ring carbon atoms. In another embodiment, a cycloalkyl contains from about 3 to about 7 ring atoms. In another embodiment, a cycloalkyl contains from about 5 to about 6 ring atoms. The term "cycloalkyl" also encompasses a cycloalkyl group, as defined above, that is fused to an aryl (e.g., benzene) or heteroaryl ring. Non-limiting examples of monocyclic cycloalkyls include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl and cyclooctyl. Non-limiting examples of multicyclic cycloalkyls include 1-decalinyl, norbornyl and adamantyl. A cycloalkyl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. In one embodiment, a cycloalkyl group is unsubstituted. The term "3 to 7-membered cycloalkyl" refers to a cycloalkyl group having from 3 to 7 ring carbon atoms. A ring carbon atom of a cycloalkyl group may be functionalized as a carbonyl group. Unless otherwise indicated, a cycloalkyl group is unsubstituted. An illustrative example of such a cycloalkyl group (also referred to herein as a "cycloalkanoyl" group) includes, but is not limited to, cyclobutanoyl:
Figure imgf000013_0001
The term "cycloalkenyl," as used herein, refers to a non-aromatic mono- or multicyclic ring system comprising from about 4 to about 10 ring carbon atoms and containing at least one endocyclic double bond. In one embodiment, a cycloalkenyl contains from about 4 to about 7 ring carbon atoms. In another embodiment, a cycloalkenyl contains 5 or 6 ring atoms. Non-limiting examples of monocyclic cycloalkenyls include cyclopentenyl, cyclohexenyl, cyclohepta-l,3-dienyl, and the like. A cycloalkenyl group can be optionally substituted with one or more "ring system substituents" which may be the same or different, and are as defined herein below. A ring carbon atom of a cycloalkyl group may be functionalized as a carbonyl group. In one embodiment, a cycloalkenyl group is unsubstituted. In another embodiment, a cycloalkenyl group is cyclopentenyl. In another embodiment, a cycloalkenyl group is cyclohexenyl. The term "4 to 7-membered cycloalkenyl" refers to a cycloalkenyl group having from 4 to 7 ring carbon atoms. Unless otherwise indicated, a cycloalkenyl group is unsubstituted. The term "halo," as used herein, means -F, -Cl, -Br or -I. In one embodiment, a halo group is -F or -Cl. In another embodiment, a halo group is -F.
The term "haloalkyl," as used herein, refers to an alkyl group as defined above, wherein one or more of the alkyl group's hydrogen atoms has been replaced with a halogen. In one embodiment, a haloalkyl group has from 1 to 6 carbon atoms and is substituted with one or more halogen atoms. In another embodiment, a haloalkyl group is substituted with from 1 to 3 F atoms. Non-limiting examples of haloalkyl groups include -CH2F, -CHF2, - CF3, -CH2Cl and -CCI3. The term "Cj-C6 haloalkyl" refers to a haloalkyl group having from 1 to 6 carbon atoms substituted with up to 13 halogen atoms.
The term "hydroxyalkyl," as used herein, refers to an alkyl group as defined above, wherein one or more of the alkyl group's hydrogen atoms has been replaced with an -OH group. In one embodiment, a hydroxyalkyl group has from 1 to 6 carbon atoms. Non- limiting examples of hydroxyalkyl groups include -CH2OH, -CH2CH2OH, -CH2CH2CH2OH and -CH2CH(OH)CH3. The term "Ci-C6 hydroxyalkyl" refers to a hydroxyalkyl group having from 1 to 6 carbon atoms. The term "heteroaryl," as used herein, refers to an aromatic monocyclic or multicyclic ring system comprising about 5 to about 14 ring atoms, wherein from 1 to 4 of the ring atoms is independently O, N or S and the remaining ring atoms are carbon atoms. In one embodiment, a heteroaryl group has 5 to 10 ring atoms. In another embodiment, a heteroaryl group is monocyclic and has 5 or 6 ring atoms. In another embodiment, a heteroaryl group is bicyclic. A heteroaryl group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below. A heteroaryl group is joined via a ring carbon atom, and any nitrogen atom of a heteroaryl can be optionally oxidized to the corresponding N-oxide. The term "heteroaryl" also encompasses a heteroaryl group, as defined above, which is fused to a benzene ring. Non- limiting examples of heteroaryls include pyridyl, pyrazinyl, furanyl, thienyl, pyrimidinyl, pyridone (including N-substituted pyridones), isoxazolyl, isothiazolyl, oxazolyl, oxadiazolyl, thiazolyl, pyrazolyl, furazanyl, pyrrolyl, triazolyl, 1,2,4-thiadiazolyl, pyrazinyl, pyridazinyl, quinoxalinyl, phthalazinyl, oxindolyl, imidazo[l,2-a]pyridinyl, imidazol2,l-b]thiazolyl, benzofurazanyl, indolyl, azaindolyl, benzimidazolyl, benzothienyl, quinolinyl, imidazolyl, benzimidazolyl, thienopyridyl, quinazolinyl, thienopyrimidyl, pyrrolopyridyl, imidazopyridyl, isoquinolinyl, benzoazaindolyl, 1,2,4-triazinyl, benzothiazolyl and the like, and all isomeric forms thereof. The term "heteroaryl" also refers to partially saturated heteroaryl moieties such as, for example, tetrahydroisoquinolyl, tetrahydroquinolyl and the like. In one embodiment, a heteroaryl group is unsubstituted. hi another embodiment, a heteroaryl group is a 5-membered heteroaryl. In another embodiment, a heteroaryl group is a 6-membered heteroaryl. In another embodiment, a heteroaryl group comprises a 5 ro 6- membered heteroaryl group fused to a benzene ring. The term "3 to 7-membered cycloalkyl" refers to a cycloalkyl group having from 3 to 8 ring carbon atoms. Unless otherwise indicated, a heteroaryl group is unsubstituted.
The term "heteroarylene," as used herein, refers to a bivalent group derived from an heteroaryl group, as defined above, by removal of a hydrogen atom from a ring carbon or ring heteroatom of a heteroaryl group. A heteroarylene group can be derived from a monocyclic or multicyclic ring system comprising about 5 to about 14 ring atoms, wherein from 1 to 4 of the ring atoms are each independently O, N or S and the remaining ring atoms are carbon atoms, hi one embodiment, a heteroarylene group has 5 to 10 ring atoms. In another embodiment, a heteroarylene group is monocyclic and has 5 or 6 ring atoms, hi another embodiment, a heteroarylene group is bicyclic and has 9 or 10 ring atoms. A heteroarylene group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below. A heteroarylene group is joined via a ring carbon atom or by a nitrogen atom with an open valence, and any nitrogen atom of a heteroarylene can be optionally oxidized to the corresponding N-oxide. The term "heteroarylene" also encompasses a heteroarylene group, as defined above, that is fused to a benzene ring. Non-limiting examples of heteroarylenes include pyridylene, pyrazinylene, furanylene, thienylene, pyrimidinylene, pyridonylene (including those derived from N- substituted pyridonyls), isoxazolylene, isothiazolylene, oxazolylene, oxadiazolylene, thiazolylene, pyrazolylene, furazanylene, pyrrolylene, triazolylene, 1,2,4-thiadiazolylene, pyrazinylene, pyridazinylene, quinoxalinylene, phthalazinylene, oxindolylene, imidazof 1,2- ajpyridinylene, imidazo[2,l-b]thiazolylene, benzofurazanylene, indolylene, azaindolylene, benzimidazolylene, benzothienylene, quinolinylene, imidazolylene, benzimidazolylene, thienopyridylene, quinazolinylene, thienopyrimidylene, pyrrolopyridylene, imidazopyridylene, isoquinolinylene, benzoazaindolylene, 1,2,4-triazinylene, benzothiazolylene and the like, and all isomeric forms thereof. The term "heteroarylene" also refers to partially saturated heteroarylene moieties such as, for example, tetrahydroisoquinolylene, tetrahydroquinolylene, and the like. A heteroarylene group is divalent and either available bond on a heteroarylene ring can connect to either group flanking the heteroarylene group. For example, the group "A-heteroarylene-B," wherein the heteroarylene group is:
Figure imgf000015_0001
is understood to represent both:
Figure imgf000015_0002
In one embodiment, a heteroarylene group is unsubstituted. In another embodiment, a heteroarylene group is a 5-membered heteroarylene. In another embodiment, a heteroarylene group is a 6-membered heteroarylene. In another embodiment, a heteroarylene group comprises a 5 or 6-membered heteroarylene group fused to a benzene ring. In another embodiment, a heteroarylene group is:
Figure imgf000016_0001
Unless otherwise indicated, a heteroarylene group is unsubstituted.
The term "heterocycloalkyl," as used herein, refers to a non-aromatic saturated monocyclic or multicyclic ring system comprising 3 to about 10 ring atoms, wherein from 1 to 4 of the ring atoms are independently O, S or N and the remainder of the ring atoms are carbon atoms. A heterocycloalkyl group can be joined via a ring carbon or ring nitrogen atom. In one embodiment, a heterocycloalkyl group has from about 3 to about 7 ring atoms. In another embodiment, a heterocycloalkyl group has 5 or 6 ring atoms. In another embodiment, a heterocycloalkyl group is monocyclic. In still another embodiment, a heterocycloalkyl group is bicyclic. There are no adjacent oxygen and/or sulfur atoms present in the ring system. Any -NH group in a heterocycloalkyl ring may exist protected such as, for example, as an -N(BOC), -N(Cbz), -N(Tos) group and the like; such protected heterocycloalkyl groups are considered part of this invention. The term "heterocycloalkyl" also encompasses a heterocycloalkyl group, as defined above, that is fused to an aryl (e.g., benzene) or heteroaryl ring. A heterocycloalkyl group can be optionally substituted by one or more "ring system substituents" which may be the same or different, and are as defined herein below. The nitrogen or sulfur atom of the heterocycloalkyl can be optionally oxidized to the corresponding N-oxide, S-oxide or S,S-dioxide. Non-limiting examples of monocyclic heterocycloalkyl rings include oxetanyl, piperidyl, pyrrolidinyl, piperazinyl, morpholinyl, thiomorpholinyl, thiazolidinyl, 1 ,4-dioxanyl, tetrahydrofuranyl, tetrahydrothiophenyl, lactam, lactone and the like, and all isomers thereof. A ring carbon atom of a heterocycloalkyl group may be functionalized as a carbonyl group. An illustrative example of such a heterocycloalkyl group is pyrrolidonyl:
Figure imgf000016_0002
In one embodiment, a heterocycloalkyl group is unsubstituted. In another embodiment, a heterocycloalkyl group is a 5-membered heterocycloalkyl. In another embodiment, a heterocycloalkyl group is a 6-membered heterocycloalkyl. The term "3 to 7- membered cycloalkyl" refers to a heterocycloalkyl group having from 3 to 7 ring atoms. Unless otherwise indicated, a heterocycloalkyl group is unsubstituted.
The term "heterocycloalkenyl," as used herein, refers to a heterocycloalkyl group, as defined above, wherein the heterocycloalkyl group contains from 4 to 10 ring atoms, and at least one endocyclic carbon-carbon or carbon-nitrogen double bond. A heterocycloalkenyl group can be joined via a ring carbon or ring nitrogen atom. In one embodiment, a heterocycloalkenyl group has from 4 to 7 ring atoms. In another embodiment, a heterocycloalkenyl group is monocyclic and has 5 or 6 ring atoms. In another embodiment, a heterocycloalkenyl group is bicyclic. A heterocycloalkenyl group can optionally substituted by one or more ring system substituents, wherein "ring system substituent" is as defined above. The nitrogen or sulfur atom of the heterocycloalkenyl can be optionally oxidized to the corresponding N-oxide, S-oxide or S,S-dioxide. Non-limiting examples of heterocycloalkenyl groups include 1,2,3,4- tetrahydropyridinyl, 1 ,2-dihydropyridinyl, 1,4- dihydropyridinyl, 1,2,3,6-tetrahydropyridinyl, 1,4,5,6-tetrahydropyrimidinyl, 2-pyrrolinyl, 3- pyrrolinyl, 2-imidazolinyl, 2-pyrazolinyl, dihydroimidazolyl, dihydrooxazolyl, dihydrooxadiazolyl, dihydrothiazolyl, 3,4-dihydro-2H-pyranyl, dihydrofuranyl, fluoro- substituted dihydrofuranyl, 7-oxabicyclo[2.2.1 ]heptenyl, dihydrothiophenyl, dihydrothiopyranyl, and the like. A ring carbon atom of a heterocycloalkenyl group may be functionalized as a carbonyl group. In one embodiment, a heterocycloalkenyl group is unsubstituted. In another embodiment, a heterocycloalkenyl group is a 5-membered heterocycloalkenyl. In another embodiment, a heterocycloalkenyl group is a 6-membered heterocycloalkenyl. The term "4 to 7-membered heterocycloalkenyl" refers to a heterocycloalkenyl group having from 4 to 7 ring atoms. Unless otherwise indicated, a heterocycloalkenyl group is unsubstituted. The term "ring system substituent," as used herein, refers to a substituent group attached to an aromatic or non-aromatic ring system which, for example, replaces an available hydrogen atom attached to the ring system. Ring system substituents may be the same or different, each being independently selected from the group consisting of alkyl, alkenyl, alkynyl, aryl, heteroaryl, -alkylene-aryl, -arylene-alkyl, -alkylene-heteroaryl, - alkenylene-heteroaryl, -alkynylene-heteroaryl, hydroxy, hydroxyalkyl, haloalkyl, -O-alkyl, - O-haloalkyl, -alkylene-O-alkyl, -O-aryl, aralkoxy, acyl, aroyl, halo, nitro, cyano, -SF5, carboxy, -C(O)O-alkyl, -C(O)O-aryl, -C(O)O-alkylene-aryl, -S(O)-alkyl, -S(O)2-alkyl, -S(O)- aryl, -S(O)2-aryl, -S(O)-heteroaryl, -S(O)2-heteroaryl, -S-alkyl, -S-aryl, -S-heteroaryl, -S- alkylene-aryl, -S-alkylene-heteroaryl, -S(O)2-alkylene-aryl, -S(O)2-alkylene-heteroaryl, cycloalkyl, heterocycloalkyl, -O-C(O)-alkyl, -O-C(O)-aryl, -O-C(O)-cycloalkyl, -Q=N-CN)- NH2, -C(=NH)-NH2, -C(=NH)-NH(alkyl), YiY2N-, Y,Y2N-alkyl-, YiY2NC(O)-, and YiY2NS(O)2-, wherein Yj and Y2 can be the same or different and are independently selected from the group consisting of hydrogen, alkyl, aryl, cycloalkyl, and -alkylene-aryl. "Ring system substituent" may also mean a single moiety which simultaneously replaces two available hydrogens on two adjacent carbon atoms (one H on each carbon) on a ring system. Examples of such moiety are methylenedioxy, ethylenedioxy, -C(CHa)2- and the like which form moieties such as, for example:
Figure imgf000018_0001
The term "substituted" means that one or more hydrogens on a designated atom is replaced with a selection from an indicated list of substituents, provided that the designated atom's normal valency under the existing circumstances is not exceeded, and that the substitution results in a stable compound. Combinations of substituents and/or variables are permissible only if such combinations result in stable compounds. The term "stable compound' or "stable structure" refers to a compound that is sufficiently robust to survive isolation to a useful degree of purity from a reaction mixture, and formulation into an efficacious therapeutic agent. The term "in substantially purified form," as used herein, refers to the physical state of a compound after the compound is isolated from a synthetic process (e.g., from a reaction mixture), a natural source, or a combination thereof. The term "in substantially purified form," also refers to the physical state of a compound after the compound is obtained from a purification process or processes described herein or well-known to the skilled artisan (e.g., chromatography, recrystallization and the like), in sufficient purity to be characterizable by standard analytical techniques described herein or well-known to the skilled artisan. It should also be noted that any carbon as well as heteroatom with unsatisfied valences in the text, schemes, examples and tables herein is assumed to have the sufficient number of hydrogen atom(s) to satisfy the valences. When a functional group in a compound is termed "protected", this means that the group is in modified form to preclude undesired side reactions at the protected site when the compound is subjected to a reaction. Suitable protecting groups will be recognized by those with ordinary skill in the art as well as by reference to standard textbooks such as, for example, T. W. Greene et al, Protective Groups in Organic Synthesis (1991), Wiley, New York. When any variable (e.g., aryl, heterocycle, R2, etc.) occurs more than one time in any constituent or in Formula (I), its definition on each occurrence is independent of its definition at every other occurrence.
As used herein, the term "composition" is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
Prodrugs and solvates of the compounds of the invention are also contemplated herein. A discussion of prodrugs is provided in T. Higuchi and V. Stella, Pro-drugs as Novel Delivery Systems (1987) \A_ of the A.C.S. Symposium Series, and in Bioreversible Carriers in Drug Design, (1987) Edward B. Roche, ed., American Pharmaceutical Association and Pergamon Press. The term "prodrug" means a compound (e.g., a drug precursor) that is transformed in vivo to provide a Fused Tricyclic Aryl Compound or a pharmaceutically acceptable salt, hydrate or solvate of the compound. The transformation may occur by various mechanisms (e.g., by metabolic or chemical processes), such as, for example, through hydrolysis in blood.
For example, if a Fused Tricyclic Aryl Compound or a pharmaceutically acceptable salt, hydrate or solvate of the compound contains a carboxylic acid functional group, a prodrug can comprise an ester formed by the replacement of the hydrogen atom of the acid group with a group such as, for example, (Ci-Cg)alkyl, (C2-C i2)alkanoyloxymethyl, 1- (alkanoyloxy)ethyl having from 4 to 9 carbon atoms, 1 -methyl- l-(alkanoyloxy)-ethyl having from 5 to 10 carbon atoms, alkoxycarbonyloxymethyl having from 3 to 6 carbon atoms, 1- (alkoxycarbonyloxy)ethyl having from 4 to 7 carbon atoms, 1 -methyl- 1- (alkoxycarbonyloxy)ethyl having from 5 to 8 carbon atoms, N-(alkoxycarbonyl)aminomethyl having from 3 to 9 carbon atoms, l-(N-(alkoxycarbonyl)arnino)ethyl having from 4 to 10 carbon atoms, 3-phthalidyl, 4-crotonolactonyl, gamma-butyrolacton-4-yl, di-N,N-(Ci-
C2)alkylamino(C2-C3)alkyl (such as β-dimethylaminoethyl), carbamoyl-(Ci-C2)alkyl, N,N-di (Ci-C2)alkylcarbamoyl-(Ci-C2)alkyl and piperidino-, pyrrolidino- or morpholino(C2-C3)alkyl, and the like. Similarly, if a Fused Tricyclic Aryl Compound contains an alcohol functional group, a prodrug can be formed by the replacement of the hydrogen atom of the alcohol group with a group such as, for example, (Ci-C6)alkanoyloxymethyl, l-((Ci-C6)alkanoyloxy)ethyl, 1- methyl- 1 -((C i -C6)alkanoyloxy)ethyl, (C i -C<s)alkoxycarbonyloxymethyl, N-(C1- C6)alkoxycarbonylaminomethyl, succinoyl, (Ci-C6)alkanoyl, α-amino(Ci-C4)alkyl, α- amino(C]-C4)alkylene-aryl, arylacyl and α-aminoacyl, or α-aminoacyl-α-aminoacyl, where each α-aminoacyl group is independently selected from the naturally occurring L-amino acids, -P(O)(OH)2, -P(O)(O(C i-C6)alkyl)2 or glycosyl (the radical resulting from the removal of a hydroxyl group of the hemiacetal form of a carbohydrate), and the like. If a Fused Tricyclic Aryl Compound incorporates an amine functional group, a prodrug can be formed by the replacement of a hydrogen atom in the amine group with a group such as, for example, R-carbonyl-, RO-carbonyl-, NRR'-carbonyl- wherein R and R' are each independently (Ci-Cio)alkyl, (C3-C7) cycloalkyl, benzyl, a natural IJ -aminoacyl, — C(OH)C(O)OY1 wherein Y1 is H, (C,-C6)alkyl or benzyl, — C(OY2)Y3 wherein Y2 is (Ci-C4) alkyl and Y3 is (d-C6)alkyl; carboxy (Ci-C6)alkyl; amino(Ci-C4)alkyl or mono-N- or di- N5N-(C i-C6)alkylaminoalkyl; -C(Y4) Y5 wherein Y4 is H or methyl and Y5 is mono-N- or di- N5N-(C i-Cό)alkylamino morpholino; piperidin-1-yl or pyrrolidin-1-yl, and the like.
Pharmaceutically acceptable esters of the present compounds include the following groups: (1) carboxylic acid esters obtained by esterification of the hydroxy group of a hydroxyl compound, in which the non-carbonyl moiety of the carboxylic acid portion of the ester grouping is selected from straight or branched chain alkyl (for example, methyl, ethyl, n-propyl, isopropyl, t-butyl, sec-butyl or n-butyl), alkoxyalkyl (for example, methoxymethyl), aralkyl (for example, benzyl), aryloxyalkyl (for example, phenoxymethyl), aryl (for example, phenyl optionally substituted with, for example, halogen, C^alkyl, or -O-Ci-4alkyl or amino); (2) sulfonate esters, such as alkyl- or aralkylsulfonyl (for example, methanesulfonyl); (3) amino acid esters (for example, L-valyl or L-isoleucyl); (4) phosphonate esters and (5) mono-, di- or triphosphate esters. The phosphate esters may be further esterified by, for example, a C 1-20 alcohol or reactive derivative thereof, or by a 2,3 -di (C6.24)acyl glycerol.
One or more compounds of the invention may exist in unsolvated as well as solvated forms with pharmaceutically acceptable solvents such as water, ethanol, and the like, and it is intended that the invention embrace both solvated and unsolvated forms. "Solvate" means a physical association of a compound of this invention with one or more solvent molecules. This physical association involves varying degrees of ionic and covalent bonding, including hydrogen bonding. In certain instances the solvate will be capable of isolation, for example when one or more solvent molecules are incorporated in the crystal lattice of the crystalline solid. "Solvate" encompasses both solution-phase and isolatable solvates. Non-limiting examples of solvates include ethanolates, methanolates, and the like. "Hydrate" is a solvate wherein the solvent molecule is H2O.
One or more compounds of the invention may optionally be converted to a solvate. Preparation of solvates is generally known. Thus, for example, M. Caira et al, J. Pharmaceutical Sci., 93(3), 601-611 (2004) describe the preparation of the solvates of the antifungal fluconazole in ethyl acetate as well as from water. Similar preparations of solvates, hemisolvate, hydrates and the like are described by E. C. van Tonder et al, AAPS
PharmSciTechours. , 5(1), article 12 (2004); and A. L. Bingham et al, Chem. Commun., 603- 604 (2001). A typical, non-limiting, process involves dissolving the inventive compound in desired amounts of the desired solvent (organic or water or mixtures thereof) at a higher than ambient temperature, and cooling the solution at a rate sufficient to form crystals which are then isolated by standard methods. Analytical techniques such as, for example IR spectroscopy, show the presence of the solvent (or water) in the crystals as a solvate (or hydrate).
The Fused Tricyclic Aryl Compounds can form salts which are also within the scope of this invention. Reference to a Fused Tricyclic Aryl Compound herein is understood to include reference to salts thereof, unless otherwise indicated. The term "salt(s)", as employed herein, denotes acidic salts formed with inorganic and/or organic acids, as well as basic salts formed with inorganic and/or organic bases. In addition, when a Fused Tricyclic Aryl Compound contains both a basic moiety, such as, but not limited to a pyridine or imidazole, and an acidic moiety, such as, but not limited to a carboxylic acid, zwitterions ("inner salts") may be formed and are included within the term "salt(s)" as used herein. In one embodiment, the salt is a pharmaceutically acceptable {i.e., non-toxic, physiologically acceptable) salt. In another embodiment, the salt is other than a pharmaceutically acceptable salt. Salts of the Compounds of Formula (I) may be formed, for example, by reacting a Fused Tricyclic Aryl Compound with an amount of acid or base, such as an equivalent amount, in a medium such as one in which the salt precipitates or in an aqueous medium followed by lyophilization.
Exemplary acid addition salts include acetates, ascorbates, benzoates, benzenesulfonates, bisulfates, borates, butyrates, citrates, camphorates, camphorsulfonates, fumarates, hydrochlorides, hydrobromides, hydroiodides, lactates, maleates, methanesulfonates, naphthalenesulfonates, nitrates, oxalates, phosphates, propionates, salicylates, succinates, sulfates, tartarates, thiocyanates, toluenesulfonates (also known as tosylates) and the like. Additionally, acids which are generally considered suitable for the formation of pharmaceutically useful salts from basic pharmaceutical compounds are discussed, for example, by P. Stahl et al, Camille G. (eds.) Handbook of Pharmaceutical Salts. Properties, Selection and Use. (2002) Zurich: Wiley- VCH; S. Berge et al, Journal of Pharmaceutical Sciences (1977) 66(1) 1-19; P. Gould, International J. of Pharmaceutics (1986) 33.201-217; Anderson et al, The Practice of Medicinal Chemistry (1996), Academic Press, New York; and in The Orange Book (Food & Drug Administration, Washington, D. C. on their website). These disclosures are incorporated herein by reference thereto.
Exemplary basic salts include ammonium salts, alkali metal salts such as sodium, lithium, and potassium salts, alkaline earth metal salts such as calcium and magnesium salts, salts with organic bases (for example, organic amines) such as dicyclohexylamine, t-butyl amine, choline, and salts with amino acids such as arginine, lysine and the like. Basic nitrogen-containing groups may be quartemized with agents such as lower alkyl halides (e.g., methyl, ethyl, and butyl chlorides, bromides and iodides), dialkyl sulfates (e.g., dimethyl, diethyl, and dibutyl sulfates), long chain halides (e.g., decyl, lauryl, and stearyl chlorides, bromides and iodides), aralkyl halides (e.g., benzyl and phenethyl bromides), and others.
All such acid salts and base salts are intended to be pharmaceutically acceptable salts within the scope of the invention and all acid and base salts are considered equivalent to the free forms of the corresponding compounds for purposes of the invention.
Diastereomeric mixtures can be separated into their individual diastereomers on the basis of their physical chemical differences by methods well known to those skilled in the art, such as, for example, by chromatography and/or fractional crystallization. Enantiomers can be separated by converting the enantiomeric mixture into a diastereomeric mixture by reaction with an appropriate optically active compound (e.g., chiral auxiliary such as a chiral alcohol or Mosher's acid chloride), separating the diastereomers and converting (e.g., hydrolyzing) the individual diastereomers to the corresponding pure enantiomers. Sterochemically pure compounds may also be prepared by using chiral starting materials or by employing salt resolution techniques. Also, some of the Fused Tricyclic Aryl Compounds may be atropisomers (e.g., substituted biaryls) and are considered as part of this invention. Enantiomers can also be directly separated using chiral chromatographic techniques. It is also possible that the Fused Tricyclic Aryl Compounds may exist in different tautomeric forms, and all such forms are embraced within the scope of the invention. For example, all keto-enol and imine-enamine forms of the compounds are included in the invention. It should also be noted that tautomeric forms such as, for example, the moieties:
Figure imgf000023_0001
are considered equivalent in certain embodiments of this invention.
All stereoisomers (for example, geometric isomers, optical isomers and the like) of the present compounds and salts thereof, such as those which may exist due to asymmetric carbons on various substituents, including enantiomeric forms (which may exist even in the absence of asymmetric carbons), rotameric forms, atropisomers, and diastereomeric forms, are contemplated within the scope of this invention, as are positional isomers (such as, for example, 4-pyridyl and 3-pyridyl). If a Fused Tricyclic Aryl Compound incorporates a double bond or a fused ring, both the cis- and trans-forms, as well as mixtures, are embraced within the scope of the invention. Also, for example, all keto-enol and imine-enamine forms of the compounds are included in the invention).
Individual stereoisomers of the compounds of the invention may, for example, be substantially free of other isomers, or may be admixed, for example, as racemates or with all other, or other selected, stereoisomers. The chiral centers of the present invention can have the S or R configuration as defined by the IUPAC 1974 Recommendations. The use of the terms "salt", "solvate", "ester", "prodrug" and the like, is intended to apply equally to the salt, solvate, ester and prodrug of enantiomers, stereoisomers, rotamers, tautomers, positional isomers, racemates or prodrugs of the inventive compounds.
In the Compounds of Formula (I), the atoms may exhibit their natural isotopic abundances, or one or more of the atoms may be artificially enriched in a particular isotope having the same atomic number, but an atomic mass or mass number different from the atomic mass or mass number predominantly found in nature. The present invention is meant to include all suitable isotopic variations of the compounds of generic Formula I. For example, different isotopic forms of hydrogen (H) include protium (1H) and deuterium (2H). Protium is the predominant hydrogen isotope found in nature. Enriching for deuterium may afford certain therapeutic advantages, such as increasing in vivo half-life or reducing dosage requirements, or may provide a compound useful as a standard for characterization of biological samples. Isotopically-enriched Compounds of Formula (I) can be prepared without undue experimentation by conventional techniques well known to those skilled in the art or by processes analogous to those described in the Schemes and Examples herein using appropriate isotopically-enriched reagents and/or intermediates. In one embodiment, a Compound of Formula (I) has one or more of its hydrogen atoms replaced with deuterium. Polymorphic forms of the Fused Tricyclic Aryl Compounds, and of the salts of the Fused Tricyclic Aryl Compounds, are intended to be included in the present invention. The following abbreviations are used below and have the following meanings: BINAP is racemic-2,2'-bis(diphenylphosphino)-l,l'-binaphthyl; BOC or Boc is tert- butyloxycarbonyl; CDI is carbonyl diimidazole; Ci/mmol is Curie/mmol; CSA is camphorsulfonic acid; DBPD is 2-(Di-t-butylphosphino)biphenyl, DBU is l,8-diazabicyclo[5.4.0]undec-7-ene; DBN is l,5-diazabicyclol4.3.0]non-5-ene; DCC is dicyclohexylcarbodiimide; DCM is dichloromethane; Dibal-H is diisobutylaluminum hydride; DIPEA is N,N-Diisopropylethylamine; DMAP is dimethylaminopyridine; DME is dimethoxyethane; DMF is dimethylformamide; dppf is diphenylphosphinoferrocene; EDCI is l-(3-dimethylaminopropyl)-3- ethylcarbodiimide; EtOAc is ethyl acetate; FABMS is fast atom bombardment mass spectrometry; HATU is is O-(7-azabenzotriazol-l-yl)-N,N,N,N'- tetramethyluronium hexafluorophosphate; HOBT is 1-hydroxybenzotriazole; HOOBt is 3- hydroxy-l,2,3-benzotriazin-4(3H)-one; ΗPLC is high performance liquid chromatography; ΗRMS is high resolution mass spectrometry; Ηunig's base is iV,iV-diisopropylethylamine; LAΗ is lithium aluminum hydride; LDA is lithium diisopropylamide; LRMS is low resolution mass spectrometry; m-CPBA is m-chloroperbenzoic acid; MeOH is methanol; NaBH(OAc)3 is sodium triacetoxyborohydride; NaBH4 is sodium borohydride; NaBH3CN is sodium cyanoborohydride; NaHMDS is sodium hexamethyldisilazane; NH4OAc is ammonium acetate; p-TsOH is p-toluenesulfonic acid; p-TsCl is p-toluenesulfonyl chloride; Pd(PPh3)4 is tetrakis(triphenylphosphine)palladium(0); PPTS is pyridinium p-toluenesulfonate; PYBROP is bromotripyrrolidinophosphonium hexafluorophosphate; SEM is β-(trimethylsilyl)ethoxy]methyl; SEMCl is β-(trimethylsilyl)ethoxy]methyl chloride; TFA is trifluoroacetic acid; THF is tetrahydrofuran; TLC is thin-layer chromatography; TMAD is N,N,N',N'-tetramethylazodicarboxamide; Tr is triphenylmethyl; and Tris is tris(hydroxymethyl)aminomethane.
The Compounds of Formula (I) The present invention provides Fused Tricyclic Aryl Compounds of Formula (I):
Figure imgf000025_0001
and pharmaceutically acceptable salts thereof, wherein A, D, L1, L2, M1, M2, X1, X2, Y1, Y2, Z and Z are defined above for the Compounds of Formula (I).
In one embodiment, A is 4 to 7-membered heterocycloalkyl.
In another embodiment, A is 4 to 7-membered heterocycloalkenyl.
In another embodiment, A is aryl.
In still another embodiment, A is heteroaryl.
In another embodiment, A is 5-membered heteroaryl.
In another embodiment, A is phenyl.
In yet another embodiment, A is imidazolyl.
In a further embodiment, A is benzimidazolyl.
In another embodiment A is:
Figure imgf000025_0002
In another embodiment A is:
Figure imgf000025_0003
In another embodiment A is:
Figure imgf000025_0004
In one embodiment, D is 4 to 7-membered heterocycloalkyl.
In another embodiment, D is 4 to 7-membered heterocycloalkenyl.
In another embodiment, D is aryl. In still another embodiment, D is heteroaryl.
In another embodiment, D is 5-membered heteroaryl.
In another embodiment, D is phenyl.
In yet another embodiment, D is imidazolyl.
In a further embodiment, D is benzimidazolyl.
In another embodiment D is:
Figure imgf000026_0001
In another embodiment D is:
Figure imgf000026_0002
In another embodiment D is:
Figure imgf000026_0003
In one embodiment, L is -CH2-. In another embodiment, L is -C=C-.
In another embodiment, L1 is -CH=CH-.
IInn ssttiillll another embodiment, L1 is -CH=CH- and the double bond is in the cis configuration.
IInn aannooither embodiment, L1 is -CH=CH- and the double bond is in the trans configuration.
In another embodiment, L1 is -C(O)-.
In yet another embodiment, L1 is -S(O)2-.
In another embodiment, L1 is -O- .
In one embodiment, L1 is -CF2-.
In another embodiment, L1 is -N(R12)-.
In another embodiment, L1 is -NH-. hi still another embodiment, L1 is -NHC(O)O-.
In another embodiment, L1 is -OC(O)NH-. In another embodiment, L1 is -S(O)2N(R12)-.
In yet another embodiment, L1 is -N(R12)S(O)2-.
In another embodiment, L1 is -C(O)N(R12)-.
In another embodiment, L1 is -N(R1 -)C(O)-. In a further embodiment, L1 is -C(O)NH-.
In another embodiment, L is -NHC(O)-.
In another embodiment, L1 is -NHC(O)NH-.
In still another embodiment, L1 is -NHS(O)2-.
In another embodiment, L1 is -S(O)2NH-. In one embodiment, L2 is -CH2-.
In another embodiment, L" is -C≡C-.
In another embodiment, L" is -CH=CH-.
In still another embodiment, L2 is -CH=CH- and the double bond is in the cis configuration. In another embodiment, L is -CH=CH- and the double bond is in the trans configuration.
In another embodiment, L2 is -C(O)-.
In yet another embodiment, L2 is -S(O)2-.
In another embodiment, L is -O-. In one embodiment, L is -CF2-.
In another embodiment, L is -N(R )-.
In another embodiment, L" is -NH-.
In still another embodiment, L2 is -NHC(O)O-.
In another embodiment, L is -OC(O)NH-. In another embodiment, L2 is -S(O)2N(R12)-.
In yet another embodiment, L2 is -N(R12)S(O)2-.
In another embodiment, L2 is -C(O)N(R12)-.
In another embodiment, L2 is -N(R12)C(O)-.
In a further embodiment, L2 is -C(O)NH-. In another embodiment, L2 is -NHC(O)-.
In another embodiment, L2 is -NHC(O)NH-.
In still another embodiment, L2 is -NHS(O)2-.
In another embodiment, L is -S(O)2NH-. In one embodiment, L is a bond and L is other than a bond.
In another embodiment, L1 and L2 are each independently selected from a bond, C2-C4 alkylene, -NH-, -C(O)-, -NHC(O)- and -S(O)2-.
In another embodiment, L is a bond and L" is -CH2-, -CH=CH-, -C≡C-, -C(O)-, - C(O)NH-, -NHC(O)-, -NHC(O)NH-, -S(O)2-, -NHS(O)2- or -S(O)2NH-.
In one embodiment, L2 is a bond and L1 is other than a bond.
In another embodiment, L2 is a bond and L2 is -CH2-, -CH=CH-, -C≡C-, -C(O)-, - C(O)NH-, -NHC(O)-, -NHC(O)NH-, -S(O)2-, -NHS(O)2- or -S(O)2NH-.
In another embodiment, L1 and L2 are each a bond. In another embodiment, one of L1 and L2 is a bond and the other is not a bond.
In another embodiment, neither of L1 and L2 is a bond.
In one embodiment L1 and L are independently selected from:
Figure imgf000028_0001
Figure imgf000028_0002
In still another embodiment, L1 and L2 are each independently selected from:
Figure imgf000029_0001
In one embodiment, M1 is -C(R17)-.
In another embodiment, M1 is -N-.
In another embodiment, M1 is -CH-. In still another embodiment, M1 is -C(F)-.
In one embodiment, M2 is -C(R17)-.
In another embodiment, M is -N-.
In another embodiment, M2 is -CH-.
In still another embodiment, M is -C(F)-. In one embodiment, M1 and M2 are each independently selected from -C(R17)- and -
N-.
In another embodiment M1 and M2 are each independently selected from -CH- and - N-.
In one embodiment, M and M are each -C(R )-. In another embodiment, M1 and M2 are each -CH-.
In another embodiment, M1 and M2 are each -N-.
In still another embodiment, M1 is -N- and M2 is -CH-.
In another embodiment, M1 is -CH- and M2 is -N-.
In one embodiment, X1 is -[C(R12)]q-. In another embodiment, X1 is -C(R12)=C(R12)-.
In still another embodiment, X1 is -N=C(R12)-.
In yet another embodiment, X1 is -C(R12)=N-.
In a further embodiment, X1 is -[C(R12)]nO-[C(R12)]n-.
In another embodiment, X1 is -[C(R12)]nN(R10)[C(R12)]n-. In still another embodiment, X1 is -N(R10)C(O)N(R10)-.
In yet another embodiment, X1 is -[C(R12)]nS(O)n[C(R12)]n-. In a further embodiment, X1 is -S(O)2N(R10)-.
In another embodiment, X1 is -N(R 10)S (O)2-.
In another embodiment, X1 is -O-, -NH- or -CH2- and the optional and additional bond to X1 is absent. In another embodiment, X1 is -N- or -CH- and the optional and additional bond to X1 is present.
In one embodiment, X is -[C(R )]q-.
In another embodiment, X2 is -C(R12)=C(R12)-.
In still another embodiment, X2 is -N=C(R12)-. In yet another embodiment, X2 is -C(R12)=N-.
In a further embodiment, X2 is -[C(Rl2)]nO-[C(R12)]n-.
In another embodiment, X2 is -[C(R12)]nN(Rl0)[C(R12)ln-.
In still another embodiment, X2 is -N(R10)C(O)N(R10)-.
In yet another embodiment, X2 is -[C(R12)lnS(O)n[C(R12)ln-. In a further embodiment, X2 is -S(O)2N(R10)-.
In another embodiment, X2 is -N(R10)S(O)2-.
In another embodiment, X is -O- , -NH- or -CH2- and the optional and additional bond to X2 is absent.
In another embodiment, X2 is -N- or -CH- and the optional and additional bond to X2 is present.
In another embodiment, X1 and X2 are each N.
In one embodiment, Y1 is -C- and one optional and additional bond to Y1 is present.
In another embodiment, Y1 is -CH- and there is no optional and additional bond to Y1. In one embodiment, Y2 is -C- and one optional and additional bond to Y2 is present.
In another embodiment, Y2 is -CH- and there is no optional and additional bond to
Y^
In one embodiment, each of Y1 and Y2 is -C- and each of Y1 and Y2 is connected via an optional and additional bond. In another embodiment, each of Y1 and Y2 is -CH- and neither of Y1 and Y2 is connected via an optional and additional bond.
In one embodiment, Y1 is -N-.
In another embodiment, Y is -N-. In another embodiment, each of Y1 and Y2 is -N-. In one embodiment, Z1 is -[C(R12)1q-. In another embodiment, Z1 is -C(R12)=C(R12)-. In still another embodiment, Z1 is -N=C(R12)-.
1 \O In yet another embodiment, Z is -C(R ")=N-.
In a further embodiment, Z1 is -fC(R12)ln0-[C(R12)]n-.
In another embodiment, Z1 is -[C(R12)]nN(R10)[C(R12)]n-.
In still another embodiment, Z1 is -N(R10)C(O)N(R10)-.
In yet another embodiment, Z1 is -[C(R12)]nS(O)n[C(R12)]n-. In a further embodiment, Z1 is -S(O)2N(R10)-.
In another embodiment, Z1 is -N(R10)S(O)2-.
In another embodiment, Z1 is -O-, -NH- or -CH2- and the optional and additional bond to Z1 is absent.
In another embodiment, Z1 is -N- or -CH- and the optional and additional bond to Z1 is present.
In one embodiment, Z" is -[C(R )]q-.
In another embodiment, Z2 is -C(R12)=C(R12)-.
In still another embodiment, Z2 is -N=C(R12)-.
In yet another embodiment, Z2 is -C(RI 2)=N-. In a further embodiment, Z2 is -[C(R12)]nO-[C(R12)]n-.
In another embodiment, Z2 is -[C(R12)]nN(R10)[C(R12)]n-.
In still another embodiment, Z2 is -N(R10)C(O)N(R10)-.
In yet another embodiment, Z2 is -[C(R12)]nS(O)n[C(R12)]n-.
In a further embodiment, Z2 is -S(O)2N(R10)-. In another embodiment, Z2 is -N(R10)S(O)2-.
In another embodiment, Z2 is -O-, -NH- or -CH2- and the optional and additional bond to Z2 is absent.
In another embodiment, Z2 is -N- or -CH- and the optional and additional bond to Z2 is present. In another embodiment Z1 and Z2 are each N.
In another embodiment X1 and Z are each N.
In another embodiment X2 and Z1 are each N.
In one embodiment, R1 is R5. In another embodiment, R1 is H.
In another embodiment, R1 is -Ci-C6 alkyl.
In still another embodiment, R1 is -Ci-C6 haloalkyl.
In yet another embodiment, R1 is -[C(Rl2)2]p-(3 to 7-membered cycloalkyl). In another embodiment, R1 is -[C(Rl2)2]p-(4 to 7-membered heterocycloalkyl).
In another embodiment, R1 is -fC(R12)2]p-aryl.
In further embodiment, R1 is -[C(Rl2)2]p-heteroaryl.
In another embodiment, R1 is -[C(RI2)2]P-C(O)R12.
In another embodiment, R1 is -(C2-C6 alkylene)OR10. In still another embodiment, R1 is -(C2-C6 alkylene)OC(O)R12.
In another embodiment, R1 is -(C2-C6 alkylene)N(Rl0)2.
In another embodiment, R1 is -(C2-C6 alkylene)N(Rl0)C(O)R12.
In yet another embodiment, R1 is -[C(RI 2)2]PS(O)2RU.
In another embodiment, R1 is -[C(R l2)2 Jp-C(O)N(R 12)2. In another embodiment, R1 is -(C2-C6 alkylene)N(R10)S(O)2R".
In a further embodiment, R1 is -[C(R12)2]pS(O)n(Rπ)N(R10).
In another embodiment, R1 is -C(O)-[C(R12)2]qN(R10)2.
In still another embodiment, R1 is -C(O)C(R12)2N(R10)C(O)R6.
In another embodiment, R1 is -(C2-C6 alkylene)N(Rl0)-C(O)[C(Rl2)2]qN(R10)2. In another embodiment, R1 is -(C2C6 alkylene)N(Rl0)-C(S)[C(Rl2)2]qN(R10)2.
In yet another embodiment, R1 is 3 to 7-membered cycloalkyl.
In another embodiment, R1 is 4 to 7-membered heterocycloalkyl.
In one embodiment, R1 is pyrrolidinyl.
In another embodiment, R1 is
Figure imgf000032_0001
In another embodiment, R1 is H, methyl, ethyl, isopropyl, t-butyl, -CF3, -CH2CF3, cyclopropyl, cyclobutyl or -CH2-cyclopropyl.
In one embodiment, R2 is R5.
In another embodiment, R2 is H. In another embodiment, R is -Ci-C6 alkyl. In still another embodiment, R2 is -Ci-C6 haloalkyl.
In yet another embodiment, R is -[C(R ")2]p-(3 to 7-membered cycloalkyl).
In another embodiment, R is -[C(Rl2)2]p-(4 to 7-membered heterocycloalkyl).
In another embodiment, R2 is -[C(Rl2)2]p-aryl.
In further embodiment, R is -[C(Rl2)2]p-heteroaryl.
In another embodiment, R2 is -[C(Rl2)2]p-C(O)Ri2.
In another embodiment, R2 is -(C2-C6 alkylene)OR10.
In still another embodiment, R2 is -(C2-C6 alkylene)OC(O)R 12
In another embodiment, R2 is -(C2-C6 alkylene)N(Rl0)2. In another embodiment, R2 is -(C2-C6 alkylene)N(R10)C(O)R12.
In yet another embodiment, R2 is -[C(Rl2)2]pS(O)2Rπ .
In another embodiment, R2 is -[C(R12)2]p-C(O)N(Ri2)2.
In another embodiment, R2 is -(C2-C6 alkylene)N(R10)S(O)2R".
In a further embodiment, R2 is -[C(R12)2JpS(O)n(R' ')N(R10). In another embodiment, R2 is -C(O)-[C(R12)2]qN(R10)2.
In still another embodiment, R2 is -C(O)C(R12)2N(R10)C(O)R6.
In another embodiment, R2 is -(C2-C6 alkylene)N(Ri0)-C(O)[C(R12)2]qN(Rl0)2.
In another embodiment, R2 is -(C2C6 alkylene)N(R10)-C(S)[C(R12)2lqN(Rl0)2.
In yet another embodiment, R2 is 3 to 7-membered cycloalkyl. In another embodiment, R" is 4 to 7-membered heterocycloalkyl.
In one embodiment, R" is pyrrol idinyl.
In another embodiment, R is
Figure imgf000033_0001
In another embodiment, R2 is H, methyl, ethyl, isopropyl, t-butyl, -CF3, -CH2CF3, cyclopropyl, cyclobutyl or -CH2-cyclopropyl.
In yet another embodiment, R1 and R are each pyrrolidinyl.
In one embodiment R and R are each independently selected from H, H, methyl, ethyl, isopropyl, isobutyl, t-butyl, -C(2H)3, -CH2SO2CH3, -CF3, -CH2CF3, cyclopropyl, cyclobutyl, cyclopentyl, -CH2-cyclopropyl,
Figure imgf000034_0001
In another embodiment, R1 and R2 are each independently selected from: H, methyl, ethyl, isopropyl, t-butyl, -CF3, -CH2CF3, cyclopropyl, cyclobutyl and -CHb-cyclopropyl.
In another embodiment, R1 and R are each H. In one embodiment, R3 is R5.
In another embodiment, R3 is H.
In another embodiment, R3 is -Ci-C6 alkyl.
In still another embodiment, R is -Ci-Cβhaloalkyl.
In another embodiment, R3 is -[C(R12)2]p-(3 to 7-membered cycloalkyl). In another embodiment, R" is -[C(R )2]p-(4 to 7-membered heterocycloalkyl).
In yet another embodiment, R3 is -[C(R12)2]p-aryl.
In another embodiment, R is -[C(R )2lp-heteroaryl.
In another embodiment, R3 is -[C(R12)2]P-C(O)R12.
In a further embodiment, R3 is -[C(R12)2]POR10. In another embodiment, R3 is -[C(RI2)2JPOC(O)R12.
In another embodiment, R3 is -[C(Rl2)2]pN(Rπ)2.
In still another embodiment, R3 is -[C(R12)2]pN(R10)C(O)R12.
In another embodiment, R3 is -[C(R12)2]pS(O)2Rπ .
In another embodiment, R3 is -[C(R12)2]PN(R10)S(O)2R11 . In yet another embodiment, R3 is -[C(R^)2JpS(O)2(R1 ')N(R10).
In another embodiment, R3 is -C(O)-[C(R12)2]qN(Ru)2.
In another embodiment, R3 is -[C(R12)2lpN(R10)C(O)[C(R12)2]qN(RI0)2.
In a further embodiment, R3 is [C(R12)2JpN(RI0)C(S)[C(RI2)2]qN(R10)2.
In another embodiment, R3 is -C(O)C(RI2)2N(R10)C(O)R6. In another embodiment, R3 is selected from:
Figure imgf000035_0001
In one embodiment, R4 is R5.
In another embodiment, R4 is H.
In another embodiment, R4 is -Ci-C6 alkyl. In still another embodiment, R4 is -Ci-C6 haloalkyl.
In another embodiment, R4 is -[C(R12)2]p-(3 to 7-membered cycloalkyl).
In another embodiment, R4 is -[C(R12)2]p-(4 to 7-membered heterocycloalkyl).
In yet another embodiment, R4 is -[C(R )2]p-aryl.
In another embodiment, R4 is -[C(R12)2]p-heteroaryl. In another embodiment, R4 is -[C(R12)2]P-C(O)R12.
In a further embodiment, R4 is -[C(R12)2JpOR10.
In another embodiment, R4 is -[C(R12)2]POC(O)R12.
In another embodiment, R4 is -[C(R12)2lpN(Rπ)2.
In still another embodiment, R4 is -[C(R12)2]PN(R1())C(O)R12. In another embodiment, R4 is -[C(R12^IpS(O)2R11.
In another embodiment, R4 is -[C(R12)2]pN(R10)S(O)2R11.
In yet another embodiment, R4 is -[C(R^)2IpS(O)2(R1 ')N(R10).
In another embodiment, R4 is -C(O)-[C(R12)2JqN(R' ')2.
In another embodiment, R4 is -[C(R12)2]pN(R10)C(O)[C(R12)2]qN(R10)2. In a further embodiment, R4 is [C(R12)2]pN(R10)C(S)[C(R12)2]qN(R10)2.
In another embodiment, R4 is -C(O)C(R12)2N(R10)C(O)R6.
In another embodiment, R4 is:
Figure imgf000036_0001
In one embodiment, R3 and R4 are each independently selected from
Figure imgf000036_0002
Figure imgf000037_0001
Figure imgf000037_0002
In another embodiment, R3 and R4 are each independently selected from:
Figure imgf000038_0001
In another embodiment, R > 3 a „„nd Λ τ R^4 are each independently selected from:
Figure imgf000038_0002
In another embodiment, R3 and R4 are each
Figure imgf000038_0003
In one embodiment, R3 is H.
In another embodiment, R is -Ci-Cealkyl.
In another embodiment, R is -Ci-C6haloalkyl.
In still another embodiment, R5 is -fC(R12)2]p-(3 to 7-membered cycloalkyl). In another embodiment, R5 is -[C(R12)?1p-(4 to 7-membered heterocycloalkyl).
In another embodiment, R5 is -[C(R12)2]p-aryl.
In another embodiment, R is -[C(R *")2]p-heteroaryl.
In a further embodiment, R5 is -[C(R12)2]P-C(O)R12.
In another embodiment, R5 is -[C(R12)2]pOR10. In another embodiment, R5 is -[C(R12)2JPOC(O)R12.
In still another embodiment, R5 is -[C(R12)2]pN(R10)2.
In another embodiment, R5 is -[C(R12)2JpN(R10)C(O)R12.
In another embodiment, R5 is -[C(R12)2JpS(O)2Rn.
In yet another embodiment, R5 is -[C(R12)2JpN(R10)S(O)2R1 '. In another embodiment, R5 is -[C(R12^IpS(O)2(R1 ^N(R10).
In another embodiment, R5 is -C(O)-[C(R12)2lqN(R10)2.
In a further embodiment, R5 is -[C(R12)2JpN(R10)C(O)[C(R12)2JqN(R10)2. In another embodiment, R5 is -[C(R12)2]pN(R10)C(S)[C(R12)2JqN(R10)2. In another embodiment, R5 is -C(O)C(R12)2N(R10)C(O)R6. In one embodiment, each occurrence of R is independently selected from:
Figure imgf000039_0001
Figure imgf000040_0001
Figure imgf000041_0001
In another embodiment, each occurrence of R is independently selected from:
Figure imgf000041_0002
In another embodiment, each occurrence of R is independently -C(O)- CH(R12)N(R10)C(O)R6.
In another embodiment, each occurrence of R5 is independently:
Figure imgf000041_0003
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and R »bD is alkyl. In another embodiment, each occurrence of R5 is independently:
Figure imgf000042_0001
, wherein Ra is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH2CH2CF3, 4-pyranyl or phenyl.
In another embodiment, each occurrence of R is independently:
Figure imgf000042_0002
In another embodiment, eacn occurrence of R is independently selected from:
Figure imgf000042_0003
In another embodiment, R and R4 are each independently selected from:
Figure imgf000042_0004
and eacn occurrence of R5 is independently selected from:
Figure imgf000043_0001
In another embodiment, R3 and R4 are each:
Figure imgf000043_0002
, and each occurrence of R5 is:
Figure imgf000043_0003
In one embodiment, A and D are each independently 4 to 7-membered cycloalkyl.
In another embodiment, A and D are each independently 4 to 7-membered heterocycloalkyl.
In another embodiment, A and D are each independently 4 to 7-membered cycloalkenyl. In still another embodiment, A and D are each independently 4 to 7-membered heterocycloalkeny 1.
In another embodiment, A and D are each independently aryl. In another embodiment, A and D are each independently heteroaryl. In yet another embodiment, one of A and D is aryl. In another embodiment, one of A and D is heteroaryl.
In another embodiment, one of A and D is imidazolyl. In a further embodiment, one of A and D is benzimidazolyl. In one another embodiment, A and D are each independently heteroaryl. In another embodiment, A and D are each independently selected from imidazolyl, benzimidaolyl, indolyl, triazinoyl, pyrrolyl and quinazolinyl. In another embodiment, A and D are each imidazolyl.
In another embodiment, A or D are each benzimidazolyl.
In a further embodiment, A and D are each independently selected from
Figure imgf000044_0001
Figure imgf000044_0002
Figure imgf000044_0004
Figure imgf000044_0003
Figure imgf000044_0005
wherein R1'2 represents substitution by either an R1 group or an R2 group and R3'4 represents substitution by either an R3 group or an R4 group.
In another embodiment, A and D are each independently selected from
Figure imgf000045_0001
wherein R1'2 represents substitution by either an R1 group or an R group and R3 4 represents substitution by either an R group or an R4 group.
In another embodiment, A and D are each independently selected from:
Figure imgf000045_0002
In another embodiment, A and D are each:
Figure imgf000045_0003
In another embodiment, A and D are each:
Figure imgf000045_0004
In one embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000045_0005
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000046_0001
and each occurrence of R5 is independently -[C(R )2lPN(R10)C(O)R12.
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000046_0002
and each occurrence of R is independently
Figure imgf000046_0006
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and Rb is alkyl.
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000046_0003
and
Figure imgf000046_0005
Figure imgf000046_0004
and each occurrence of R5 is independently
Figure imgf000047_0001
, wherein Ra is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH2CH2CF3, 4-pyranyl or phenyl.
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000047_0002
and each occurrence of R is independently
Figure imgf000047_0003
In one embodiment, A-R and D-R are each independently selected from
Figure imgf000047_0004
and each occurrence of R is
Figure imgf000047_0005
In one embodiment, A-R3 and D-R4 are each independently selected from :
Figure imgf000048_0001
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000048_0002
and each occurrence of R3 is independently -[C(R 1^2%)2IpN(R , 110I%C(O)R . 112.
In another embodiment, A-R' and D-R4 are each independently selected from
Figure imgf000048_0003
and each occurrence of R5 is independently
Figure imgf000048_0004
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and Rb is alkyl.
In another embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000048_0005
and each occurrence of R5 is independently
Figure imgf000048_0006
, wherein Ra is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -CH2CH2CF3, 4-pyranyl or phenyl.
In another embodiment, A-R and D-R4 are each independently selected from
Figure imgf000049_0001
and each occurrence of R5 is independently
Figure imgf000049_0002
In one embodiment, A-R3 and D-R4 are each independently selected from
Figure imgf000049_0003
and each occurrence of R is
Figure imgf000049_0004
In one embodiment, A-R3 and D-R4 are each
Figure imgf000049_0005
and each occurrence of R 5 i •s
Figure imgf000049_0006
In one embodiment, A-R3 and D-R4 are each
Figure imgf000049_0007
and each occurrence of R is
Figure imgf000050_0001
In one embodiment, the group:
Figure imgf000050_0002
Figure imgf000051_0001
Figure imgf000051_0002
In another embodiment, the group:
Figure imgf000051_0003
lected from:
Figure imgf000052_0001
In another embodiment, the group:
Figure imgf000052_0002
ted from:
Figure imgf000052_0003
In one embodiment, the group:
Figure imgf000053_0001
Figure imgf000054_0001
Figure imgf000054_0002
and A and D are each independently selected from
Figure imgf000054_0003
Figure imgf000055_0001
wherein R1'2 represents substitution by either an R1 group or an R2 group and R3'4 represents substitution by either an R3 group or an R4 group.
In another embodiment, the group:
Figure imgf000055_0002
is selected from:
Figure imgf000055_0003
Figure imgf000056_0001
Figure imgf000057_0001
and A and D are each independently selected from
Figure imgf000057_0002
wherein R1'2 represents substitution by either an R1 group or an R2 group and R3'4 represents substitution by either an R3 group or an R4 group. In another embodiment, the group:
Figure imgf000057_0003
is selected from:
Figure imgf000057_0004
Figure imgf000058_0001
Figure imgf000059_0001
and A-R and D-R are each independently selected from :
Figure imgf000059_0002
In another embodiment, the group:
Figure imgf000059_0003
is selected from:
Figure imgf000059_0004
Figure imgf000060_0001
Figure imgf000061_0001
and A-R' and D-R are each independently selected from :
Figure imgf000061_0002
In another embodiment, the group:
Figure imgf000061_0003
is selected from:
Figure imgf000061_0004
Figure imgf000062_0001
Figure imgf000063_0001
A-R3 and D-R4 are each independently selected from
Figure imgf000063_0002
and each occurrence of R is independently
Figure imgf000063_0003
, wherein Rd is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl.
In one embodiment, the group:
Figure imgf000063_0004
is selected from:
Figure imgf000064_0001
and A and D are each independently selected from:
Figure imgf000064_0002
wherein R1'" represents substitution by either an R1 group or an R2 group and R3'4 represents substitution by either an R3 group or an R4 group. In another embodiment, the group:
Figure imgf000064_0003
is selected from:
Figure imgf000065_0001
A and D are each independently selected from:
Figure imgf000065_0002
and R ' represents substitution by either an R group or an R4 group which are each independently selected from:
Figure imgf000065_0003
In another embodiment, the group:
Figure imgf000065_0004
is selected from:
Figure imgf000066_0001
A and D are each independently selected from:
Figure imgf000066_0002
R3'4 represents substitution by either an R3 group or an R4 group which are each independently selected from:
Figure imgf000066_0003
and each occurrence of R5 is independently:
Figure imgf000066_0004
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl.
In still another embodiment, the group:
Figure imgf000067_0001
is selected from:
Figure imgf000067_0002
and A-R3 and D-R4 are each independently selected from :
Figure imgf000067_0003
In another embodiment, the group:
Figure imgf000067_0004
is selected from:
Figure imgf000068_0001
A-R3 and D-R4 are each independently selected from
Figure imgf000068_0002
and each occurrence of R5 is independently
Figure imgf000068_0003
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl. In another embodiment, the group:
Figure imgf000068_0004
is selected from:
Figure imgf000069_0001
A-R3 and D-R4 are each independently selected from
Figure imgf000069_0002
and each occurrence of R 5 ; i,s independently
Figure imgf000069_0003
In yet another embodiment, the group:
Figure imgf000069_0004
is selected from:
Figure imgf000070_0001
A-RJ and D-R4 are each
Figure imgf000070_0002
and each occurrence of R is independently
Figure imgf000070_0003
In one embodiment, for the Compounds of Formula (I), variables A, B, C, D, R1, R2, R3 and R4 are selected independently from each other.
In another embodiment, a Compound of Formula (I) is in substantially purified form.
In one embodiment, the Compounds of Formula (I) have the formula (Ia):
Figure imgf000070_0004
and pharmaceutically acceptable salts thereof, wherein: A is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R3;
D is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R4; M1 is -CH- or -N-;
M2 is -CH- or -N-;
X1 is -CH2-, -NH- or -O- when the optional and additional bond to X1 is not present, and X1 is -CH- or -N- when the optional and additional bond to X1 is present;
X2 is -CH2-, -NH- or -O- when the optional and additional bond to X2 is not present, and X2 is -CH- or -N- when the optional and additional bond to X2 is present;
Y1 is -C- when an optional and additional bond to Y1 is present, and Y1 is -CH- when an optional and additional bond to Y1 is absent;
<-y 0 0
Y~ is -C- when an optional and additional bond to Y" is present, and Y is -CH- when an optional and additional bond to Y" is absent; Z1 is -CH2-, -NH- or -O- when the optional and additional bond to Z1 is not present, and Z1 is -CH- or -N- when the optional and additional bond to Z1 is present;
Z~ is -CH2-, -NH- or -O- when the optional and additional bond to Z is not present, and Z2 is -CH- or -N- when the optional and additional bond to Z2 is present; each occurrence of R3 is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R4 is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R5 is independently halo, -C(O)N(R10)C(O)N(Rl0)2, -
C(O)C(R12)2N(R10)C(O)R6, or two R5 groups on different carbon atoms of the same R3 or R4 group can combine to form a C1-C3 alkylene group between the carbon atoms to which the two said R groups are attached; each occurrence of R6 is independently -C1-C6 alkyl, -0-(Ci-C6 alkyl), -Ci-C6 haloalkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R10 is independently H or -Ci-C6 alkyl; and each occurrence of R12 is independently H, -C J-C6 haloalkyl, -C]-C6 alkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl.
In one embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000072_0001
In one embodiment, for the Compounds of Formula (Ia), A and D are each independently imidazolyl or benzimidazolyl. In another embodiment, for the Compounds of Formula (Ia), A and D are each imidazolyl.
In another embodiment, for the Compounds of Formula (Ia), A and D are each benzimidazolyl.
In one embodiment, for the Compounds of Formula (Ia), R3 and R4 are each independently selected from:
Figure imgf000072_0002
In another embodiment, for the Compounds of Formula (Ia), R3 and R4 are each:
Figure imgf000073_0005
In another embodiment, for the Compounds of Formula (Ia), each occurrence of R5 is independently selected from:
Figure imgf000073_0001
In another embodiment, for the Compounds of Formula (Ia), each occurrence of R5 is independently:
Figure imgf000073_0002
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and Rb is alkyl.
In another embodiment, for the Compounds of Formula (Ia), each occurrence of R5 is independently:
Figure imgf000073_0003
, wherein Ra is H, methyl, ethyl, propyl, isopropyl, t-butyl, cyclopropyl, -
CH2CH2CF3, 4-pyranyl or phenyl. In another embodiment, for the Compounds of Formula (Ia), each occurrence of R5 is:
Figure imgf000073_0004
In one embodiment, for the Compounds of Formula (Ia), R and R are each independently selected from:
Figure imgf000074_0001
and each occurrence of R > 5 i ■s independently selected from:
Figure imgf000074_0002
In one embodiment, for the Compounds of Formula (Ia), R3 and R4 are each independently selected from:
Figure imgf000074_0003
, and each occurrence of R5 is independently:
Figure imgf000074_0004
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and Rb is alkyl.
In one embodiment, for the Compounds of Formula (Ia), R3 and R4 are each independently selected from:
Figure imgf000074_0005
and each occurrence of R5 is
Figure imgf000075_0001
In another embodiment, for the Compounds of Formula (Ia), R3 and R4 are each:
Figure imgf000075_0002
and each occurrence of R is independently selected from:
Figure imgf000075_0003
In another embodiment, for the Compounds of Formula (Ia), R3 and R are each:
Figure imgf000075_0007
and each occurrence of R is independently:
Figure imgf000075_0004
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl.
In another embodiment, for the Compounds of Formula (Ia), R3 and R4 are each:
Figure imgf000075_0005
and each occurrence of R5 is
Figure imgf000075_0006
In another embodiment, for the Compounds of Formula (Ia), R3 and R4 are each:
Figure imgf000076_0004
and each occurrence of R3 is:
Figure imgf000076_0001
In one embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000076_0002
and A and D are each independently selected from:
Figure imgf000076_0003
wherein R1'2 represents substitution by either an R1 group or an R group and R '4 represents substitution by either an R3 group or an R4 group. In another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000077_0001
is selected from:
Figure imgf000077_0002
A and D are each independently selected from:
Figure imgf000077_0003
and R^ ' represents substitution by either an R group or an R group which are each independently selected from:
Figure imgf000077_0004
In another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000078_0001
is selected from:
Figure imgf000078_0002
A and D are each independently selected from:
Figure imgf000078_0003
R3'4 represents substitution by either an R3 group or an R4 group which are each independently selected from:
Figure imgf000078_0004
and each occurrence of R5 is independently:
Figure imgf000079_0001
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl.
In still another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000079_0002
is selected from:
Figure imgf000079_0003
and A-R and D-R are each independently selected from
Figure imgf000079_0004
In another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000079_0005
is selected from:
Figure imgf000080_0001
A-R3 and D-R4 are each independently selected from
Figure imgf000080_0002
and each occurrence of R is independently
Figure imgf000080_0003
, wherein Ra is H, alkyl, haloalkyl, heterocycloalkyl, cycloalkyl or aryl, and
Rb is alkyl.
In another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000080_0004
is selected from:
Figure imgf000081_0001
A-R" and D-R are each independently selected from
Figure imgf000081_0002
and each occurrence of R3 is independently
Figure imgf000081_0003
In yet another embodiment, for the Compounds of Formula (Ia), the group:
Figure imgf000081_0004
is selected from:
Figure imgf000082_0001
A-R and D-R are each
Figure imgf000082_0002
and each occurrence of R 5 i •s independently
Figure imgf000082_0003
In one embodiment, for the Compounds of Formula (Ia), variables A, D, M1, M2, X1,
X2, Y1, Y2, Z1 and Z2 are selected independently from each other.
In another embodiment, a Compound of Formula (Ia) is in substantially purified form. In one embodiment, the Compounds of Formula (I) have the formula (Ib):
Figure imgf000082_0004
and pharmaceutically acceptable salts thereof, wherein: each occurrence of Rf is independently H or F; each occurrence of Rg is independently H or F; A and D are the same and are selected from:
Figure imgf000083_0001
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ib);
T is selected from:
Figure imgf000083_0002
In one embodiment, for the Compounds of Formula (Ib), each occurrence of Rf and Rs is H.
In another embodiment, for the Compounds of Formula (Ib), at least one occurrence of Rf or Rg is F.
In another embodiment, for the Compounds of Formula (Ib), one occurrence of Rf is F and the other occurrence of Rf is H.
In still another embodiment, for the Compounds of Formula (Ib), one occurrence of Rg is F and the other occurrence of Rg is H.
In another embodiment, for the Compounds of Formula (Ib), each occurrence of Rf is F.
In another embodiment, for the Compounds of Formula (Ib), each occurrence of Rs is F. In one embodiment, for the Compounds of Formula (Ib), A and D are each:
Figure imgf000084_0001
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ib).
In another embodiment, for the Compounds of Formula (Ib), A and D are each:
Figure imgf000084_0002
sucn that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ib).
In one embodiment, for the Compounds of Formula (Ib), variables A, D and T are selected independently from each other.
In another embodiment, a Compound of Formula (Ib) is in substantially purified form.
In one embodiment, the Compounds of Formula (I) have the formula (Ic):
Figure imgf000084_0003
and pharmaceutically acceptable salts thereof, wherein: each occurrence of Rf is independently H or F; each occurrence of Rg is independently H or F;
A and D are the same and are selected from:
Figure imgf000084_0004
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ic);
L1 is a bond, C2-C4 alkylene, -NH-, -C(O)-, -NHC(O)- or -S(O)2-; L2 is a bond, C2-C4 alkylene, -NH-, -C(O)-, -C(O)NH- or -S(O)2-, such that at least one of L1 and L2 is other than a bond; and T is selected from:
Figure imgf000085_0001
In one embodiment, for the Compounds of Formula (Ic), each occurrence of R and Rg is H.
In another embodiment, for the Compounds of Formula (Ic), at least one occurrence of Rf or Rg is F. In another embodiment, for the Compounds of Formula (Ic), one occurrence of Rf is F and the other occurrence of Rf is H.
In still another embodiment, for the Compounds of Formula (Ic), one occurrence of Rs is F and the other occurrence of Rg is H.
In another embodiment, for the Compounds of Formula (Ic), each occurrence of Rf is F.
In another embodiment, for the Compounds of Formula (Ic), each occurrence of Rg is F.
In one embodiment, for the Compounds of Formula (Ic), A and D are each:
Figure imgf000085_0002
. such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ic).
In another embodiment, for the Compounds of Formula (Ic), A and D are each:
Figure imgf000085_0003
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ic).
In one embodment, for the Compounds of Formula (Ic), one, but not both, of L1 and L2 is a bond. In another embodiment, for the Compounds of Formula (Ic), neither of L1 and L2 is a bond.
In one embodiment, for the Compounds of Formula (Ic), variables A, D, L1, L2 and T are selected independently from each other. In another embodiment, a Compound of Formula (Ic) is in substantially purified form.
Other embodiments of the present invention include the following:
(a) A pharmaceutical composition comprising an effective amount of a Compound of Formula (I) and a pharmaceutically acceptable carrier. (b) The pharmaceutical composition of (a), further comprising a second therapeutic agent selected from the group consisting of HCV antiviral agents, immunomodulators, and anti-infective agents.
(c) The pharmaceutical composition of (b), wherein the HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors.
(d) A pharmaceutical combination that is (i) a Compound of Formula (I) and (ii) a second therapeutic agent selected from the group consisting of HCV antiviral agents, immunomodulators, and anti- infective agents; wherein the Compound of Formula (I) and the second therapeutic agent are each employed in an amount that renders the combination effective for inhibiting HCV NS5A, or for treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection.
(e) The combination of (d), wherein the HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors. (f) A method of inhibiting HCV NS5A in a subject in need thereof which comprises administering to the subject an effective amount of a Compound of Formula (I).
(g) A method of treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection in a subject in need thereof which comprises administering to the subject an effective amount of a Compound of Formula (I). (h) The method of (g), wherein the Compound of Formula (I) is administered in combination with an effective amount of at least one second therapeutic agent selected from the group consisting of HCV antiviral agents, immunomodulators, and anti- infective agents. (i) The method of (h), wherein the HCV antiviral agent is an antiviral selected from the group consisting of HCV protease inhibitors and HCV NS5B polymerase inhibitors.
(j) A method of inhibiting HCV NS5A in a subject in need thereof which comprises administering to the subject the pharmaceutical composition of (a), (b), or (c) or the combination of (d) or (e).
(k) A method of treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection in a subject in need thereof which comprises administering to the subject the pharmaceutical composition of (a), (b), or (c) or the combination of (d) or (e).
The present invention also includes a compound of the present invention for use (i) in, (ii) as a medicament for, or (iii) in the preparation of a medicament for: (a) inhibiting HCV NS5A, or (b) treating HCV infection and/or reducing the likelihood or severity of symptoms of HCV infection. In these uses, the compounds of the present invention can optionally be employed in combination with one or more second therapeutic agents selected from HCV antiviral agents, anti-infective agents, and immunomodulators.
Additional embodiments of the invention include the pharmaceutical compositions, combinations and methods set forth in (a)-(k) above and the uses set forth in the preceding paragraph, wherein the compound of the present invention employed therein is a compound of one of the embodiments, aspects, classes, sub-classes, or features of the compounds described above. In all of these embodiments, the compound may optionally be used in the form of a pharmaceutically acceptable salt or hydrate as appropriate.
In the embodiments of the compound provided above, it is to be understood that each embodiment may be combined with one or more other embodiments, to the extent that such a combination provides a stable compound and is consistent with the description of the embodiments. It is further to be understood that the embodiments of compositions and methods provided as (a) through (k) above are understood to include all embodiments of the compounds, including such embodiments as result from combinations of embodiments.
Non-limiting examples of the Compounds of Formula (I) include compounds 1-42 as set forth in the following tables:
Figure imgf000087_0001
Figure imgf000088_0001
Figure imgf000089_0001
Figure imgf000090_0001
Figure imgf000091_0001
Figure imgf000092_0001
Figure imgf000093_0001
and pharmaceutically acceptable salts thereof.
Methods For Making the Compounds of Formula (I)
The Compounds of Formula (I) may be prepared from known or readily prepared starting materials, following methods known to one skilled in the art of organic synthesis. Methods useful for making the Compounds of Formula (I) are set forth in the Examples below and generalized in Schemes 1-5. Alternative synthetic pathways and application of the outlined methods to analogous structures will be apparent to those skilled in the art of organic synthesis. All stereoisomers and tautomeric forms of the compounds are contemplated. Schemes 1 and 2 illustrate several known pathways (shown as retrosyntheses as denoted by the double arrow) for the construction of the title compounds. One skilled in the art of organic synthesis will also recognize that compounds of formula (I) without the one or two optional double bonds (Scheme 2) can also be obtained from compounds with the optional double bond by known reduction methods. Reduction conditions include but are not limited to hydrogen gas in the presence of a palladium or rhodium catalyst, ammonium formate in the presence of a palladium or rhodium catalyst, lithium aluminum hydride in an anhydrous solvent such dioxane or tetrahydrofuran, or sodium metal in an ammonia solvent. In some of the methods known in the chemical literature, intermediates of general structure S3, S4, S5, S6, S7 are generated as intermediates during the course of a reaction, but are not characterized. Methods to prepare intermediates which can be converted to compounds of the invention are also known in the chemical literature.
Scheme 1 shows methods useful for making compounds of formula Sl, which correspond to the Compounds of Formula (I) wherein Y1 and Y2 are each -CH- and no optional and additional bond is present.
Scheme 1
Figure imgf000095_0001
wherein X1 ', X2', Z1' and Z2> are each independently -[C(R12)]nOH, -[C(R12)]nNH2, - N(R10)C(O)NH(R10), -[C(R12)]nSH, or -S(O)2NH(R10); T is Cl, Br or -OTf; and A, D, M1, M2, R1, R2, X1, X2, Z1 and Z2 are as defined above for the Compounds of Formula (I).
Compounds of the invention of generalized structure Sl, wherein the variables R1, R2, A, D, X1, X2, Z1, Z2, M1, M2 are as defined above can be derived from compounds of formula S2. When at least one of R1 and R2 is H, further elaboration can be achieved using well- known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry" 6th Ed, 2007, J. Wiley Publishers. Compounds for Formula S2 can be derived from compounds of formula S3 wherein T is a reactive functional group such as a halide. When A and/or D are aromatic or heteroaromatic rings, one such method is the transition- metal mediated cross coupling reactions. Compounds of formula S2 can be derived from compounds of formula S4, or S5, wherein T represents a leaving group such as a halide or O- mesylate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step. Compounds of formula S2 can also be derived from compounds of formula S6, or S7, wherein T represents a group that can participate in a cross-coupling reaction such as such as a halide or -O-triflate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step. Compounds of structure S3, S4, S5, S6, and S7 can be derived from commercial or known compounds of structure S16 using well-known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry" 6th Ed, 2007, J. Wiley Publishers.
Scheme 2 shows methods useful for making compounds of formula S8, which correspond to the Compounds of Formula (I) wherein Y1 and Y2 are each -C- and two optional and additional bonds are present.
Scheme 2
Figure imgf000096_0001
wherein X1', X2', Z1 ' and Z2' are each independently -[C(R12)]nOH, -[C(R12)]nNH2, - N(R10)C(O)NH(R10), -[C(R12)lnSH, or -S(O)2NH(R10); and A, D, M1, M2, R1, R2, X1, X2, Z1 and Z2 are as defined above for the Compounds of Formula (I), X1" and X2" represent either a X1 or X2 group, respectively, as above or as a protected analog thereof.
Compounds of the invention of generalized structure S8, wherein the variables R , R , A, D, X1, X2, Z1, Z", M1, M are as defined above can be derived from compounds of formula SlO. When at least one of R1 and R2 is H, further elaboration can be achieved using well- known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry" 6th Ed, 2007, J. Wiley Publishers. Compounds for Formula SlO can be derived from compounds of formula SIl wherein T is a reactive functional group such as a halide. When A and/or D are aromatic or heteroaromatic rings, one such method is the transition- metal mediated cross-coupling reactions. Compounds of formula SlO can be derived from compounds of formula S 12, or S 13, wherein T represents a leaving group such as a halide or -O-mesylate and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step. Compounds of formula SlO can also be derived from compounds of formula S14, or S15 wherein T represents a group that can participate in a cross-coupling reaction such as such as a halide and wherein each ring cyclization reaction can occur in a separate set or in one synthetic step. Compounds of structure SIl, S12, S13, S14, and S15 can be derived from commercial or known compounds of structure S16 using well-known methods described, for example, in M. Smith and J. March, "Advanced Organic Chemistry" 6th Ed, 2007, J. Wiley Publishers.
Selected examples of the cyclization reactions described in general for Schemes 1 and 2 above are cited herein for illustrative purposes: When X1 and Z are nitrogen and the optional double is not present, cyclization of a dianiline compound to form a compound of general structure S3 can be achieved using the methods described, for example, in E. Dikusar et al. , Russian J. General Chem 2007, 77: 1924-1927). When X1 and Z1 are each oxygen and the optional double is not present, an example of cyclization of diphenol to form a compound of general structure S3 is known in the chemical literature (R. Johnsson, J. Organic
Chemistry 2008, 75:5226-5232). When X1 and/or X2 is each carbon and Z1 and/or Z2 is oxygen and the optional double is not present, an example of cyclization of phenol of general structure S4 or S5 to form a compound of general structure S2 is known in the chemical literature (M. Abdul-Aziz et al, J. Organic Chemistry 1995, 60, pl303-1308; D. Berard et al, Tetrahedron, 2008, 64:7537-7544). When X1, X2, Z1 and Z2 are carbon and the optional double is not present, an example of cyclization of a diester of general structure S4 or S5 to form a compound of general structure S3 is known in the chemical literature (B. Ruggli et al., Helvetica Chimica Acta 1947, 30, p2048-2054). When X1, X2, Z1 and Z2 are each carbon and the optional double is not present, the cyclization of a dibromide can be carried out to prepare compounds of formula SIl, using for example, methods described in L. Trojen et al., Acta. Chem Scand B: Organic Chem & Biochem, 1979, 33_: 109-112. Additional manipulation of generic functional group T in generalized structure S3 when X1, X2, Z1 and Z2 are carbon and the optional double is not present useful for preparing compounds of invention have been described, for example, in P. Bickert et ai, Angew. Chemie 1982, 94:308. When X1 and X2 are each carbon and Z and Z" are each sulfur, T is an ester functional group and the optional double is present, an example using 1,3-dibromo 4,6-dimethyl benzene to prepare compounds of general structure SIl is described in Jakobs et ah, Bulletin des Soc. Chim. Beiges 1991, 100:1-4). When X1 and X are each carbon and Z1 and Z2 are each nitrogen, T is an ester functional group and the optional double is present, a method employing a bis-pyrrole as an intermediate to prepare compounds of general structure SIl is described in C. Beshera et al., Can. J Chem., 2008, 86:951-957. When X1, X2, Z1 and Z2 are each independently nitrogen or oxygen, T is an alkyl group and the optional double is present to nitrogen, an example of cyclization a compound of general structure S 12 or S 13 to form SIl is described in P. Demerseman, Bulletin de Ia Soc. Chimique de France, 1969, 3601-3607. When X1, X2, Z1 and Z" are each independently nitrogen or sulfur, T is an aromatic proton and the optional double is present to nitrogen, an representative example of the cyclization of compounds of generalized structure S 14 or S 15 cyclization to form compounds of generalized structure SlO is described in Edge, J. Chem. Soc. 1923, 123:1013.
Scheme 3 shows methods useful for making compounds of formula G7, which correspond to the Compounds of Formula (I) wherein Y1 and Y are each -CH- and no optional and additional bond is present.
Scheme 3
Figure imgf000098_0001
wherein X1 , Xz , Z1 and Zz are each independently -[C(R Il 2z x)]nOH, -[C(R , 1l2z Λ)]nNH2, - N(R10)C(O)NH(R10), -[C(R12)]nSH, or -S(O)2NH(R10); and A, D, M1, M2, R1, R2, X1, X2, Z1 and Z are as defined above for the Compounds of Formula (I).
An appropriately substituted aromatic compound of formula Gl can be reacted with a geminal dihalide of formula G2 or an aldehyde of formula G3 to provide tricyclic compounds of formula G4. Compounds of formula G4, wherein T is a functional group can be transformed to compounds of formula G7 by reaction with a functionalized compound of general structure G8, wherein reactive group T' represents a suitable coupling partner such as electron lone pair (i.e., an anion), a boronic acid, a boronate ester, a transition metal (such as Pd, Rh or Ni), an alcohol or a halide. Alternatively, an appropriately substituted aromatic compound of formula Gl can be reacted with a geminal dihalide of formula G5 or an aldehyde of formula G6 to provide the tricyclic compounds of formula G7, which correspond to the Compounds of Formula (I) wherein Y and Y are each -CH- and no optional and additional bond is present.
Scheme 4 illustrates methods useful for making the Compounds of Formula (I) wherein Y1 and Y2 are each -C- and optional and additional bonds to X1 and X2 are present.
Scheme 4
Figure imgf000099_0001
wherein X1', X2', Z1 ' and Z2' are each independently -[C(R12)]nOH, -[C(R12)]nNH2, -
N(R10)C(O)NH(R10), -[C(R12)]nSH, or -S(O)2NH(R10); W is -Cl, -OH or -O-alkyl; and A, D, M1, M2, X1, X2, Z1 and Z2 are as defined above for the Compounds of Formula (I).
An appropriately substituted aromatic compound of formula Gl can be reacted with an acid chloride, carboxylic acid or ester of formula G8 followed by a dehydration step to provide the intermediate tricyclic compounds of formula G9. Typical conditions for the dehydration include treatment with acetic acid, polyphoshoric acid or aluminum chloride. Alternatively, an appropriately substituted aromatic compound of formula Gl can be reacted with an acid chloride, carboxylic acid or ester of formula GlO to provide acylated intermediates that when subjected to dehydrating conditions (such as acetic acid, polyphoshoric acid or aluminum chloride) can be cyclized to provide the tricyclic compounds of formula GIl, which correspond to the Compounds of Formula (I) wherein Y1 and Y2 are each -C- and optional and additional bonds to X1 and X2 are present. Compounds of formula G9, wherein T is a reactive functional group can be transformed to compounds of formula GIl by reaction with a functional ized compound of general structure G12, wherein reactive group T' represents a suitable coupling partner such as an electron lone pair (i.e., anion), a boronic acid, a boronate ester, a transition metal (such as Pd, Rh or Ni), an alcohol or a halide. An appropriately substituted aromatic compound of structure Gl can be reacted with a functionalized ring system of general structure GlO which in certain cases afford directly tricyclic compounds of general structure G4. Alternatively, an appropriately substituted aromatic compound of structure Gl can be reacted with a functionalized ring system of general structure GlO to provide an acylated intermediates that when treated with under dehydrating conditions (ex. acid) can be cyclized to tricyclic compounds of general structure GIl.
Scheme 5 shows methods useful for making the Compounds of Formula (I) wherein
Y1 and YY"" aarree eeaatch -CH-, no optional and additional bond is present, and groups A and D are each imidazolyl.
Figure imgf000100_0001
wherein M is -O- or -NH-; R1 and R are each independently cycloalkyl, cycloalkenyl, heterocycloalkyl, heterocycloalkenyl, aryl or heteroaryl; T is Cl, Br or -OTf; and M1, M2, X1, X2, Z1 and Z2 are as defined above for the Compounds of Formula (I).
The reactive group T of an intermediate compound of formula G4 can reacted with a carboxylic acid equivalent , such an activated ester (i.e 4-nitrophenyl ester), acid chloride or ortho ester using metal-mediated anion chemistry (ex. Na, Li, MgHalide) or transition metal- mediated coupling chemistry (B(OH)2, -Sn(alkyl)3, -MgBr, -MgCl, -ZnBr, -ZnCl, or any metal which can participate in an organometallic cross-coupling reaction) to provide intermediates of formula G13. Suitable cross-coupling methods include, but not limited to, a Stille coupling (see Choshi et al, J. Org. Chem., 62j2535-2543 (1997), and Scott et al, J. Am. Chem. Soc, 106:4630 (1984)), a Suzuki-Miayura coupling (Angew Chem. Int. Ed. Engl 2001, 40, 4544), a Negishi coupling (see Zhou et al, J. Am. Chem. Soc, 127:12537-12530 (2003)), and a Kumada coupling (see Kumada, Pure Appl. Chem., 52i669 (1980) and Fu et al, Angew. Chem. U4i4363 (2002
Cyclization of intermediate G13 in the presence of ammonia or a source or ammonium such an ammonium salt (e.g., ammonium acetate, ammonium formate, ammonium sulfamate, ammonium phosphate, ammonium citrate, ammonium carbamate) provides the imidazole-containing tetracyclic intermediate of formula G14, which correspond to the Compounds of Formula (I) wherein wherein Y1 and Y2 are each -CH- and no optional and additional bond is present.
Applying this methodology to starting material GIl allows for the synthesis of compounds of formula G15 (via intermediate G16), which correspond to the Compounds of Formula (I) wherein Y1 and Y2 are each -C- and optional and additional bonds to X1 and X2 are present.
In some compounds contemplated, R , R", R , R4 contains a nitrogen atom, which can be functionalized with an R5 moiety. In some compounds the R5 group is an amino acid derivative such as valine, valine carbamate, phenylglycine, dimethyl phenylglycine or a phenylglycine carbamate derivatives. Methods have been described in the general literature as well as in U.S. Patent Publication No. 2009/0068140 for the preparation of substituted amino acids derivatives. as well the coupling of such amino acid derivatives to a nitrogen atom.
The starting material and reagents described in Schemes 1-5 above are either available from commercial suppliers such as Sigma-Aldrich (St. Louis, MO) and Acros Organics Co. (Fair Lawn, NJ), or can be prepared using methods well-known to those of skill in the art of organic synthesis.
In some compounds contemplated, R3 and/or R4 contains a nitrogen atom, which can be synthesized through an L-amino acid (such as proline, 4,4-difluoroproline, (S)-2- piperidine carboxylic acid, valine, alanine, norvaline, etc.) derived intermediate. Methods have been described in the general literature as well as in Banchard US 2009/0068140 (Published March 9th 2009) for the preparation of such amino acid derivatives.
One skilled in the art of organic synthesis will recognize that the synthesis of the tricyclic core of the Compounds of Formula (I) may require the need for the protection of certain functional groups (i.e., derivatization for the purpose of chemical compatibility with a particular reaction condition). Suitable protecting groups for the various functional groups of these compounds and methods for their installation and removal can be found in Greene et ciL, Protective Groups in Organic Synthesis, Wiley- Interscience, New York, (1999). One skilled in the art of organic synthesis will also recognize that one route for the synthesis of the tricyclic core of the Compounds of Formula (I) may be more desirable depending on the choice of appendage substituents. Additionally, one skilled in the art will recognize that in some cases the order of reactions may differ from that presented herein to avoid functional group incompatibilities and amend the synthetic route accordingly. One skilled in the art of organic synthesis will recognize that the synthesis of certain tricyclic cores of the Compounds of Formula (1) require the construction of an amide bond. Methods useful for making such amide bonds, include but are not limited to, the use of a reactive carboxy derivative (e.g, acid halide, or ester at elevated temperatures) or the use of an acid with a coupling reagent (e.g., EDCI, DCC, HATU, PyB rop) with an amine. The preparation of ring systems contemplated in this invention have been described in the literature and in compendia such as "Comprehensive Heterocyclic Chemistry" editions I, II and III, published by Elsevier and edited by A.R. Katritzky & R JK Taylor. Manipulation of the required substitution patterns have also been described in the available chemical literature as summarized in compendia such as "Comprehensive Organic Chemistry" published by Elsevier and edited by DH R. Barton and W. D. Ollis; "Comprehensive Organic Functional Group Transformations" edited by edited by A.R. Katritzky & R JK Taylor and "Comprehensive Organic Transformation" published by WiIy-CVH and edited by R. C. Larock.
The starting materials used and the intermediates prepared using the methods set forth in the Schemes above may be isolated and purified if desired using conventional techniques, including but not limited to filtration, distillation, crystallization, chromatography and alike. Such materials can be characterized using conventional means, including physical constants and spectral data.
EXAMPLES
General Methods
Solvents, reagents, and intermediates that are commercially available were used as received. Reagents and intermediates that are not commercially available were prepared in the manner as described below. 1H NMR spectra were obtained on a Bruker Avance 500 (500 MHz) and are reported as ppm down field from Me4Si with number of protons, multiplicities, and coupling constants in Hertz indicated parenthetically. Where LC/MS data are presented, analyses was performed using an Applied Biosystems API-100 mass spectrometer and Shimadzu SCL-IOA LC column: Altech platinum C18, 3 micron, 33 mm x 7mm ID; gradient flow: 0 minutes - 10% CH3CN, 5 minutes - 95% CH3CN, 5-7 minutes - 95% CH3CN, 7 minutes - stop. The retention time and observed parent ion are given. Flash column chromatography was performed using pre-packed normal phase silica from Biotage, Inc. or bulk silica from Fisher Scientific. Unless otherwise indicated, column chromatography was performed using a gradient elution of hexanes/ethyl acetate, from 100% hexanes to 100% ethyl acetate.
EXAMPLE 1 Preparation of Intermediate Compound Int-la
Figure imgf000103_0001
To a solution of L-valine (10.0 g, 85.3 mmol) in 1 M aqueous NaOH solution (86 mL) at room temperature was added solid sodium carbonate (4.60 g, 43.4 mmol). The solution was cooled to 00C (ice bath) and to the cooled solution was added methyl chloroformate (7.20 mL, 93.6 mmol) dropwise over 20 minutes. The reaction mixture was then allowed to warm to room temperature on its own and allowed to stir at room temperature for an additional 4 hours. The reaction mixture was then diluted with diethyl ether (100 mL), the resulting solution was cooled to at 00C, and concentrated hydrochloric acid (18 mL, 216 mmol) was added. The resulting solution was extracted with EtOAc (3 x 100 mL) and the combined organics were dried over MgSO4, filtered and concentrated in vacuo to provide Int-la (13.5 g, 90%), which was used without further purification.
EXAMPLE 2
Preparation of Intermediate Compound Int-2a
Figure imgf000104_0001
To a solution of D-phenylglycine (10.0 g, 66.1 mmol) and NaOH (21.2 g, 265 mmol) in water (60 niL) at 00C was added methyl chloroformate (10.2 mL, 133 mmol) dropwise over 20 minutes. The resulting reaction was allowed to stir at 00C for 1 hour, then was acidified using concentrated hydrochloric acid (25 mL, 300 mmol). The acidic solution was extracted with EtOAc (3 x 100 mL) and the combined organics were dried over MgSO4, filtered and concentrated in vacuo to provide Int-2a (12.6 g, 91%), which was used without further purification.
EXAMPLE 3
Preparation of Intermediate Compound Int-3a
Figure imgf000104_0002
A solution of D-phenylglycine (20.0 g, 132 mmol), 37% aqueous formaldehyde (66 mL, 814 mmol) and 5 % Pd on carbon (8.0 g, mmol) in a mixture of methanol (80 mL) and 1 N HCl (60 mL) was placed on a hydrogenation shaker and shook at 35-40 psi hydrogen for 4 hours. It was then filtered through a celite pad and concentrated in vacuo to provide Int-3a (29.7 g, quant.) as a white solid, which was used without further purification.
EXAMPLE 4
Figure imgf000104_0003
Figure imgf000105_0002
To a solution of diamino benzene Int-4a (6.1 g, 32.7 mrnol), N-acetyl-L-proline (5.4g, 34.35 mmol) and HATU (13.7 g, 34.35 mmol) in anhydrous DMF (100 niL) was added DIPEA (Hunigs base) (16.91 niL, 96.9 mmol) dropwise over 15 minutes at ice temperature. The reaction was warmed to room temperature and allowed to stir for 3 h. The reaction was then diluted with EtOAc (500 mL) and the organic layer washed with water (200 mLx 2). The aqueous layer was back-extracted with EtOAc (100 mLx 2). The combined organic layers were washed with brine, dried over MgSO4, filtered and concentrated. The crude product was purified using flash chromatography using a 1% -2 % MeOHZCH2Cl2 as eluent to provide the intermediate amide (4.1 g). The amide was dissolved in glacial acetic acid and was heated at 60 - 70 0C for 1 h. The reaction mixture was diluted with EtOAc (100 mL) and cooled in ice bath. Saturated Na2CO3 solution was added slowly until the pH = 8. The organic layer was separated and the aqueous layer was extracted with EtOAc (250 mLx 2). The combined organic layers were washed with water and brine, dried over MgSO4, filtered and concentrated to provide the intermediate Int-4b (3.75g, 38 %). LCMS: M+ = 308
Step B - Synthesis of Compound lnt-4c
Figure imgf000105_0001
Benzimidazole bromide Int-4b (925 mg, 3 mmol), (Pinacol)2B2 (1.6g, 6.3 mmol), Pd(PPh3)4 (174 mg, 0.15 mmol), potassium acetate (736 mg, 7.5 mmol) and 1,4-dioxane (100 mL) were added to 350 mL pressure vessel. The resulting mixture was degassed, purged with nitrogen and allowed to stir at 80 0C for 17 h. After the reaction was cooled to room temperature the solution was diluted with CH2Cl2 (300 mL) and filtered through a celite plug. The filtrate was washed with NaHCO3 solution (50 mL) and water (50 mL). The combined organic layers were washed with brine, dried over MgSO4, filtered and concentrated. The crude product was purified using flash chromatography using a 0 -5 %MeOH/CH2Cl2 as eluent to provide compound Int-4c (750 mg, 70 %, contains some pinacol). MS: MH+ = 356.2; 1H NMR (500 MHz, CD3OD): δ 8.1-7.4 (m, 3H), 5.3 (m,lH), 3.9 (m, IH), 3.7(m, IH), 2.4 (m, IH), 2.0-2.2 (m, 6H), 1.39(bs, 12H). EXAMPLE 5
Figure imgf000106_0001
To a solution of Boc-L-proline (Int-5a, 147 mg, 0.68 mmol) in 4.3 mL of DMF was added amine Int-5b (200 mg, 0.68 mmol), EDCI (163 mg, 0.85 mmol), HOBT (115 mg, 0.85 mmol), and Hunig's base (0.24 mL, 1.36 mmol). The resulting reaction was heated at 85 0C and allowed to stir at this temperature for 16 hours. The reaction mixture was cooled to room temperature and was then partitioned between EtOAc and water. The organic phase was separated and the aqueous phase was further extracted with EtOAc. The combined organic phases were dried (MgSO4) and concentrated in vacuo to provide a crude residue which was purified using by column chromatography (EtOAc/Hex, 0 to 50% EtOAc eluent ) to provide compound Int-5c (280 mg, 100%). LC/MS m/z found 409.2 (M+ + H).
EXAMPLE 6
Figure imgf000106_0002
To a solution of Boc-L-proline (Int-5a, 406 mg, 1.88 mmol) in 10 mL of DMF was added amine Int-6a (400 mg, 1.88 mmol), EDCI (450 mg, 2.35 mmol), HOBT (317 mg, 2.35 mmol), and Hunig's base (0.65 mL, 3.76 mmol). The resulting reaction was heated at 85 0C and allowed to stir at this temperature for 16 hours. The reaction mixture was cooled to room temperature and was then partitioned between EtOAc and water. The organic phase was separated and the aqueous phase was further extracted with EtOAc. The combined organic phases were dried (MgSO4) and concentrated in vacuo to provide a crude residue which was purified using (ISCO) flash column chromatography (EtO Ac/Hex, 0 to 50% EtOAc eluent ) to provide compound Int-6b (680 mg, 88%).
EXAMPLE 7
Preparation of Intermediate Compound Int-7e
Figure imgf000107_0001
Step A - Synthesis of Compound Int-lc
A mixture of compound Int-7a (50.Og, 179.9 mmol), compound Int-7b (43.0 g, 199. mmol), and triethylamine (30 mL, 215.5 mmol) in DMF (100 mL) was allowed to stir at room temperature for about 4 days. Ethyl acetate (600 mL) was then added to the reaction mixture and the resulting solution was washed with brine (3 X 100 mL), dried over sodium sulfate and concentrated in vacuo to provide compound Int-7c as a brown gel (74.5 g, -100%), which was used without further purification.
Step B - Synthesis of Compound Int-lc
Compound Int-7c (20 g, crude, -48.5 mmol), ammonium acetate (20.0 g, 256.6 mmol), and o-xylene (100 mL) were added to a 500 mL pressure vessel. The resulting mixture was allowed to stir at 140 0C for 2.5 hours, then cooled to room temperature and concentrated in vacuo. The resulting residue was taken up in ethyl acetate (400 mL), washed with saturated sodium carbonate solution, dried over sodium sulfate, and concentrated in vacuo. The residue obtained was purified using a 330 g ISCO silica column / Combi-Flash system (20-50% ethyl acetate in hexanes) to provide compound Int-7d as an orange solid (15.5 g, 81%).
Step C — Synthesis of Compound Int-le
A solution of compound Int-7d (4.0 g, 10.2 mmol), trifluoroacetic acid (10 mL, 130.6 mmol), and dichloromethane (10 mL) was allowed to stir at room temperature for about 15 hours, then was concentrated in vacuo. The residue obtatined was taken up in dichloromethane (60 mL), washed with saturated sodium carbonate, dried over sodium sulfate, and concentrated in vacuo to provide compound Int-7e as an off-white solid (3 g, -100%), which was used without further purification.
EXAMPLE 8
Figure imgf000108_0001
A solutin of compound Int-8e (1.0 g, 3.42 mmol), compound Int-8a (0.95 g, 4.54 mmol), HATU (1.3g, 3.42 mmol), and DMF (10 mL) was allowed to stir at room temperature for about 15 hours. The solution was then diluted with ethyl acetate (100 mL), washed with brine (3 X 40 mL), dried over sodium sulfate, and concentrated in vacuo. The resulting residue was purified using an 80 g silica gel column/ Combi-Flash system (0-5% methanol in dichloromethane) to provide compound Int-8b as a gel (1.12g, 68%).
EXAMPLE 9
Figure imgf000108_0002
Compound Int-7d (4.2g, 12.24 mmol), compound Int-9a (Pinacol diborane, 6.5g, 25.6 mmol), Pd(PPh3)4 (0.563g, 0.49 mmol), potassium acetate (3.1 g, 31.58 mmol) and I/ dioxane (100 mL) were added to a 350 mL pressure vessel. The resulting mixture was degassed and allowed to stir at 80 0C for 20 hours. After the reaction was cooled to room temperature and filtered, the filtrate was concentrated in vacuo and purified using flash column chromatography on silica gel column (0-2% methanol in dichloromethane) to provide compound Int-9b as a white wax (2.5 g, 46.5%).
EXAMPLE 10 Preparation of Intermediate Compound Int-4a
Figure imgf000109_0001
To a solution of compound Int-9b (200 mg, 0.46 mmol) in 9.2 mL of CH2Cl2 was added DMAP (10 mg), SEMCl (0.12 mL, OJmmol), and diisopropylethylamine (0.28 mL, 1.6 mmol). The resulting reaction was allowed to stir at room temperature for about 4 hours then was concentrated in vacuo. The resulting residue was purified using flash column chromatography (ISCO silica gel column, EtOAc/Hex, 0 to 50% EtOAc) to provide compound InMOa (110 mg, 42.3%).
EXAMPLE 11 Preparation of Intermediate Compound Int-7c
Figure imgf000109_0002
To a solution of compound Int-lla (0.5 g, 1.58 mmol, prepared as described in U.S. Patent Publication No. US20090068140) in DME (15 mL) at room temperature under N2 was added PdCl2(dppf)2 (258 mg, 0.30 mmol). The reaction mixture was allowed to stir at 100 0C for 5 minutes, then a solution of compound Int-llb (592 mg, 3.16 mmol) and K2CO3 (654 mg, 4.74 mmol) in 15 mL H2O was added to the reaction mixture in 3 portions over 10 minutes. The resulting reaction was allowed to stir for an additional 30 minutes, after which time thin-layer chromatography analysis indicated consumption of compound Int-7a. The reaction was allowed to stir for an additional 30 minutes, then was concentrated in vacuo, and the residue obtained was taken up in 150 mL ethyl acetate. The organic phase was separated, washed with water (50 mL), brine and dried over sodium sulfate. After filtration, the organic layer was concentrated in vacuo and the resulting residue was purified using flash liquic chromatography (0% to 100% EtOAc/Hexane) to provide 600 mg of compound Int-llc (> 85% purity, theory 597 mg). HPLC (C18 column Gemini 5u HOA, 150X21.2 mm, 5 micron). FABMS: MH+ = 379
EXAMPLE 12
Preparation of Intermediate Compound Int-12d
Step A - Synthesis of Compound Int-8c
Figure imgf000110_0001
A solution of compound Int-12a (0.50 g 2.0 mmol), compound Int-12b (0.58 g 2.2 mmol) and HATU (0.85 g 2.2 mmol) in 10 mL DMF was cooled to 00C and allowed to stir at this temperature for 3 minutes. Diisopropylethylamine (1 mL) was added dropwise over 5 minutes to the reaction mixture and the resulting reaction was allowed to warm to room temperature and stir at this temperature for 48 hours. The reaction mixture was then diluted with 250 mL ethyl acetate and the organic phase was collected, washed with water (100 mL), brine, dried over sodium sulfate, filtered and concentrated in vacuo. The residue obtained was purified using flash liquid chromatography (0% to 100% EtOAc/Hexane) to provide compound Int-12c (0.9 g, theory 0.9 g).
Step B - Synthesis of Compound Int-12d
Figure imgf000110_0002
A solution of compound Int-12c, NH4OAc and O-xylene was put in a 75 niL pressure flask and the resulting solution was heated to 140 0C and allowed to stir at this temperature for 16 hours. The reaction mixture was allowed to cool to room temperature, then was diluted with 150 mL ethyl acetate. The resulting solution was transferred to a separatory funnel and the organic phase was collected, washed with water (100 mL), brine, dried over sodium sulfate, filtered and concentrated in vacuo. The resulting residue was purified using flash liquid chromatography (0% to 100% EtOAc/Hexane) to provide compound Int-12d (0.42 g, theory 0.86 g). FABMS: MH+ = 440
EXAMPLE 13 Preparation of Compounds 36-38
Figure imgf000111_0001
Step A - Synthesis of Compound 13b
Figure imgf000111_0002
To a solution of 400 mg (1.49 mmol) of 2,6-Dibromo-anthracene (13a) in 1,4- dioxane (30 mL) was added bis-pinacol borate (3.28 mmol), Pd(dppf)Cl2 (0.075 mmol) and KOAc (8.94 mmol). The reaction mixture was put under N2 atmosphere,then heated to 110 0C and allowed to stir at this temperature for about 15 hours. The reaction mixture was then cooled to room temperature and concentrated in vacuo. The resulting residue was purified using column chromatography on silica gel (gradient elution using petroleum etheπEtOAc from 50: 1 to 10: 1) to provide Compound 13b (467 mg, 73% yield). Step B - Synthesis of Compound 13c
Figure imgf000112_0001
A suspension of Compound 13b (467 mg, 1.09 mmol, prepared as described in the
Journal of the American Chemical Society, 127: 8; 2005; 2406 - 2407), (S)-tert-butyl 2-(5-bromo-lH-imidazol-2-yl)pyrrolidine-l-carboxylate (2.18 mmol), Pd(dppf)2Cl2 (0.109 mol), Na2CO3 (6.52 mmol) in THF/H2O (10:1, 20 mL) was put under N2 atmosphere, then heated to reflux and allowed to stir at this temperature for about 15 hours. The reaction mixture was cooled to room temperature and filtered and the filtrate was washed with water (20 mL) and extracted with EtOAc (50 mL). The combined organic extracts were washed with brine, dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The residue obtained was purified using column chromatography (Gradient Pet ether: Ethyl Acetate from 10: 1 to 1:9) to provide Compound 13c (706 mg, 61% yield). MS (ESI) m/e (M+H)+: 649
Step C — Synthesis of Compound 13d
Figure imgf000112_0002
Compound 13c (0.51 mmol) was dissolved in TFA/DCM (1/1, 4 mL). The resulting mixture was allowed to stir at room temperature for 3 hours, then concentrated in vacuo to provide Compound 13d, which was used in the next step without further purification. MS (ESI) m/e (M+H)+: 449
Step D - Synthesis of Compound 36
Figure imgf000113_0001
To a mixture of Compound 13d (0.50 mmol), S-Valine methoxycarbamate (Ia, 1.0 mmol) and DEPEA (1.0 mL) in DMF (2 niL) was added BOP (1.2 mmol) coupling reagent. The resulting reaction was allowed to stir at room temperature for 10 hours, then concentrated in vacuo. The resulting residue was purified using reverse HPLC to provide
Compound 36. 1H NMR (CD3OD) δ 8.31 - 8.52 (m, 2 H) , 8.08 - 8.16 (m, 2 H), 7.96 - 7.99
(m, 2 H), 7.70 - 7.83 (m, 4 H), 5.26 - 5.30 (m, 2 H), 4.10 - 4.27 (m, 4 H), 3.91 - 3.95 (m, 2 H), 3.64 (s, 6 H), 2.57 - 2.60 (m, 2 H), 2.08 - 2.31 (m, 8 H), 0.89 - 0.96 (m, 12 H) MS (ESI) m/e (M+H)+: 763
The following compounds were prepared in a similar manner using the appropriate reactants and reagents:
Figure imgf000113_0002
Figure imgf000114_0003
EXAMPLE 14
Preparation of Compound 39
Figure imgf000114_0001
Step A - Synthesis of Compound 14c
Figure imgf000114_0002
A suspension of 2,5-diiodobenzene-l,4-diol (14a, 1.2 g, 3.315 mmol, Commercially available from Allweys LLC), (S)-tert-butyl 2-(2-ethynyl-lH-imidazol-4-yl)pyrrolidine-l- carboxylate (14b, 1.73 g, 6.63 mmol, prepared by reaction of Compound 11a with TMS acetylene, Pd(Ph3)Cl2, CuI foiled by TBAF), Pd(PPh3)2Cl2 (233 mg, 0.33 mmol), CuI (63 mg, 0.33 mmol) in Et3N (20 mL) was put under N2 atmosphere, then heated to 80 0C and allowed to stir at this temperature for about 15 hours. The reaction mixture was then cooled to room temperature, concentrated in vacuo, and the resulting residue was diluted with water (50 mL) and extracted with EtOAc (300 mL). Some product precipitated out of the extract and was filtered and collected. The organic layer was washed with brine, dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The resulting residue was purified using HPLC (CH3CN/H2O = 1/3 - 1/1) to provide Compound 14c (22%). MS (ESI) m/z (M+H)+: 496.
Step B - Synthesis of Compound 14d
Figure imgf000115_0001
A mixture of Compound 14c (250 mg, 0.505 mmol), Compound 14b, 132 mg, 0.505 mmol, Preapred as above) Pd(PPh3)2Cl2 (35 mg, 0.05 mmol), CuI (9.6 mg, 0.05 mmol) in Et3N (5 mL) was put under N2 atmosphere, then heated to 80 0C and allowed to stir at this temperature for about 15 hours. The reaction mixture was then cooled to room temperature, concentrated in vacuo and the resulting residue was diluted with water (20 mL) and extracted with EtOAc (100 mL). The organic layer was washed with brine, dried over anhydrous sodium sulfate, filtered and concentrated in vacuo. The residue obtained was purified using HPLC (CH3CN/H2O = 1/4 - 1/1) to provide Compound 14d (38%). MS (ESI) m/z (M+H)+: 629.
Step C — Synthesis of Compound 14e
Figure imgf000115_0002
Compound 14d (120 mg, 1.3 mmol) was dissolved in HCI/CH3OH (10 mL, 3M) and the resulting reaction was allowed to stir at room temperature for 30 minutes. The reaction mixture was concentrated in vacuo to provide Compound 14e, which was used in the next step without further purification. MS (ESI) m/e (M+H)+: 429
Step D — Synthesis of Compound 39
Figure imgf000116_0001
To a mixture of Compound 14e (70 mg, 0.164 mmol), Compound Ia (63 mg, 0.36 mmol) and DIPEA (0.65 niL) in DMF (5 mL) was added HATU (137 mg, 0.36 mmol). The resulting reaction was allowed to stir at room temperature for about 15 hours, then the reaction mixture was purified directly using HPLC (CH3CN/H2O = 1/5 - 9/11) to provide
Compound 39 (33% yield). 1H NMR (CD3OD) δ 7.8 (s, 2 H) , 7.71 (s, 2 H), 7.23 (s, 2 H),
5.14 (t, / = 7.2 Hz, 2 H), 4.14 (d, J = 7.2 Hz, 2 H), 3.95 - 4.05 (m, 2 H), 3.72 - 3.82 (m, 2 H), 3.56 (s, 6 H), 2.41 - 2.47 (m, 2 H), 1.94 - 2.20 (m, 8 H), 0.84 (d, / = 6.8 Hz, 6 H), 0.79 (d, / = 6.8 Hz, 6 H) MS (ESI) m/e (M+H)+: 743
Example 15 Cell-Based HCV Replicon Assay
To measure cell-based anti-HCV activity of selected compounds of the present invention, replicon cells were seeded at 5000 cells/well in 96- well collagen I-coated Nunc plates in the presence of the test compound. Various concentrations of test compound, typically in 10 serial 2-fold dilutions, were added to the assay mixture, with the starting concentration ranging from 250 μM to 1 μM. The final concentration of DMSO was 0.5%, fetal bovine serum was 5%, in the assay media. Cells were harvested on day 3 by the addition of Ix cell lysis buffer (Ambion cat #8721). The replicon RNA level was measured using real time PCR (Taqman assay). The amplicon was located in 5B. The PCR primers were: 5B.2F, ATGGAC AGGCGCCCTGA (SEQ. ID NO. 1); 5B.2R, TTGATGGGCAGCTTGGTTTC (SEQ. ID NO. 2); the probe sequence was FAM-labeled CACGCCATGCGCTGCGG (SEQ. ID NO. 3). GAPDH RNA was used as endogenous control and was amplified in the same reaction as NS5B (multiplex PCR) using primers and VIC-labeled probe recommended by the manufacturer (PE Applied Biosystem). The realtime RT-PCR reactions were run on ABI PRISM 7900HT Sequence Detection System using the following program: 48 C for 30 min, 95 C for 10 min, 40 cycles of 95 C for 15 sec, 6O C for 1 min. The ΔCT values (CTSB-CTGAPDH) were plotted against the concentration of test compound and fitted to the sigmoid dose-response model using XLfit4 (MDL). EC50 was defined as the concentration of inhibitor necessary to achieve ΔCT=1 over the projected baseline; EC90 the concentration necessary to achieve ΔCT=3.2 over the baseline. Alternatively, to quantitate the absolute amount of replicon RNA, a standard curve was established by including serially diluted T7 transcripts of replicon RNA in the Taqman assay. All Taqman reagents were from PE Applied Biosystems. Such an assay procedure was described in detail in e.g. Malcolm et ah, Antimicrobial Agents and Chemotherapy 50: 1013- 1020 (2006).
HCV replicon assay data was calculated for genotypes Ia, Ib, 2a and 3a for selected compounds of the present invention using this method and is provided in the table below.
Figure imgf000117_0001
The study of the HCV life cycle has been difficult due to the lack of a cell-culture system to support the HCV virus. To date, compounds in different structural classes acting on different sites within the HCV polyprotein have demonstrated efficacy in various species, including humans, in reducing HCV viral titers. Furthermore, the subgenomic replicon assay is highly correlated with efficacy in non-humans and humans infected with HCV. See K. del Carmen et ai, Annals of Hepatology, 2004, 2:54. It is accepted that the HCV replicon system described above is useful for the development and the evaluation of antiviral drugs. See Pietschmann, T. & Bartenschlager, R., Current Opinion in Drug Discovery Research 2001, 4:657-664).
Uses of the Fused Aryl Tricyclic Compounds
The Fused Aryl Tricyclic Compounds are useful in human and veterinary medicine for treating or preventing a viral infection in a patient. In one embodiment, the Fused Aryl Tricyclic Compounds can be inhibitors of viral replication. In another embodiment, the Fused Aryl Tricyclic Compounds can be inhibitors of HCV replication. Accordingly, the Fused Aryl Tricyclic Compounds are useful for treating viral infections, such as HCV. In accordance with the invention, the Fused Aryl Tricyclic Compounds can be administered to a patient in need of treatment or prevention of a viral infection.
Accordingly, in one embodiment, the invention provides methods for treating a viral infection in a patient comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof.
Treatment or Prevention of a Flaviviridae Virus
The Fused Aryl Tricyclic Compounds can be useful for treating or preventing a viral infection caused by the Flaviviridae family of viruses.
Examples of Flaviviridae infections that can be treated or prevented using the present methods include but are not limited to, dengue fever, Japanese encephalitis, Kyasanur Forest disease, Murray Valley encephalitis, St. Louis encephalitis, Tick-borne encephalitis, West Nile encephalitis, yellow fever and Hepatitis C Virus (HCV) infection. In one embodiment, the Flaviviridae infection being treated is hepatitis C virus infection.
Treatment or Prevention of HCV Infection The Fused Aryl Tricyclic Compounds are useful in the inhibition of HCV (e.g., HCV NS 5A), the treatment of HCV infection and/or reduction of the likelihood or severity of symptoms of HCV infection and the inhibition of HCV viral replication and/or HCV viral production in a cell-based system. For example, the Fused Aryl Tricyclic Compounds are useful in treating infection by HCV after suspected past exposure to HCV by such means as blood transfusion, exchange of body fluids, bites, accidental needle stick, or exposure to patient blood during surgery or other medical procedures.
In one embodiment, the hepatitis C infection is acute hepatitis C. In another embodiment, the hepatitis C infection is chronic hepatitis C. Accordingly, in one embodiment, the invention provides methods for treating HCV infection in a patient, the methods comprising administering to the patient an effective amount of at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof. In a specific embodiment, the amount administered is effective to treat or prevent infection by HCV in the patient. In another specific embodiment, the amount administered is effective to inhibit HCV viral replication and/or viral production in the patient.
The Fused Aryl Tricyclic Compounds are also useful in the preparation and execution of screening assays for antiviral compounds. For example the Fused Aryl Tricyclic Compounds are useful for identifying resistant HCV replicon cell lines harboring mutations within NS 5 A, which are excellent screening tools for more powerful antiviral compounds. Furthermore, the Fused Aryl Tricyclic Compounds are useful in establishing or determining the binding site of other antivirals to the HCV replicase.
The compositions and combinations of the present invention can be useful for treating a patient suffering from infection related to any HCV genotype. HCV types and subtypes may differ in their antigenicity, level of viremia, severity of disease produced, and response to interferon therapy as described in Holland et al, Pathology, 30(2): 192-195 (1998). The nomenclature set forth in Simmonds et al., J Gen Virol, 74(Ptl l):2391-2399 (1993) is widely used and classifies isolates into six major genotypes, 1 through 6, with two or more related subtypes, e.g., Ia and Ib. Additional genotypes 7-10 and 11 have been proposed, however the phylogenetic basis on which this classification is based has been questioned, and thus types 7, 8, 9 and 11 isolates have been reassigned as type 6, and type 10 isolates as type 3 (see Lamballerie et al., J Gen Virol, 78(Ptl):45-51 (1997)). The major genotypes have been defined as having sequence similarities of between 55 and 72% (mean 64.5%), and subtypes within types as having 75%-86% similarity (mean 80%) when sequenced in the NS-5 region (see Simmonds et al.J Gen Virol, 75(Pt 5): 1053-1061 (1994)).
Combination Therapy In another embodiment, the present methods for treating or preventing HCV infection can further comprise the administration of one or more additional therapeutic agents which are not Substituted Fused Aryl Tricyclic Compounds.
In one embodiment, the additional therapeutic agent is an antiviral agent. In another embodiment, the additional therapeutic agent is an immunomodulatory agent, such as an immunosuppressive agent.
Accordingly, in one embodiment, the present invention provides methods for treating a viral infection in a patient, the method comprising administering to the patient: (i) at least one Substituted Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt thereof, and (ii) at least one additional therapeutic agent that is other than a Substituted Fused Aryl Tricyclic Compound, wherein the amounts administered are together effective to treat or prevent a viral infection.
When administering a combination therapy of the invention to a patient, therapeutic agents in the combination, or a pharmaceutical composition or compositions comprising therapeutic agents, may be administered in any order such as, for example, sequentially, concurrently, together, simultaneously and the like. The amounts of the various actives in such combination therapy may be different amounts (different dosage amounts) or same amounts (same dosage amounts). Thus, for non-limiting illustration purposes, a Substituted Fused Aryl Tricyclic Compound and an additional therapeutic agent may be present in fixed amounts (dosage amounts) in a single dosage unit {e.g., a capsule, a tablet and the like). In one embodiment, the at least one Substituted Fused Aryl Tricyclic Compound is administered during a time when the additional therapeutic agent(s) exert their prophylactic or therapeutic effect, or vice versa.
In another embodiment, the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are administered in doses commonly employed when such agents are used as monotherapy for treating a viral infection.
In another embodiment, the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are administered in doses lower than the doses commonly employed when such agents are used as monotherapy for treating a viral infection. In still another embodiment, the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) act synergistically and are administered in doses lower than the doses commonly employed when such agents are used as monotherapy for treating a viral infection. In one embodiment, the at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) are present in the same composition. In one embodiment, this composition is suitable for oral administration. In another embodiment, this composition is suitable for intravenous administration. In another embodiment, this composition is suitable for subcutaneous administration. In still another embodiment, this composition is suitable for parenteral administration.
Viral infections and virus-related disorders that can be treated or prevented using the combination therapy methods of the present invention include, but are not limited to, those listed above.
In one embodiment, the viral infection is HCV infection. The at least one Substituted Fused Aryl Tricyclic Compound and the additional therapeutic agent(s) can act additively or synergistically. A synergistic combination may allow the use of lower dosages of one or more agents and/or less frequent administration of one or more agents of a combination therapy. A lower dosage or less frequent administration of one or more agents may lower toxicity of therapy without reducing the efficacy of therapy. In one embodiment, the administration of at least one Substituted Fused Aryl
Tricyclic Compound and the additional therapeutic agent(s) may inhibit the resistance of a viral infection to these agents.
Non-limiting examples of additional therapeutic agents useful in the present compositions and methods include an interferon, an immunomodulator, a viral replication inhibitor, an antisense agent, a therapeutic vaccine, a viral polymerase inhibitor, a nucleoside inhibitor, a viral protease inhibitor, a viral helicase inhibitor, a virion production inhibitor, a viral entry inhibitor, a viral assembly inhibitor, an antibody therapy (monoclonal or polyclonal), and any agent useful for treating an RNA-dependent polymerase-related disorder. In one embodiment, the additional therapeutic agent is a viral protease inhibitor.
In another embodiment, the additional therapeutic agent is a viral replication inhibitor.
In another embodiment, the additional therapeutic agent is an HCV NS 3 protease inhibitor. In still another embodiment, the additional therapeutic agent is an HCV NS5B polymerase inhibitor.
In another embodiment, the additional therapeutic agent is a nucleoside inhibitor.
In another embodiment, the additional therapeutic agent is an interferon. In yet another embodiment, the additional therapeutic agent is an HCV replicase inhibitor.
In another embodiment, the additional therapeutic agent is an antisense agent.
In another embodiment, the additional therapeutic agent is a therapeutic vaccine.
In a further embodiment, the additional therapeutic agent is a virion production inhibitor.
In another embodiment, the additional therapeutic agent is an antibody therapy.
In another embodiment, the additional therapeutic agent is an HCV NS2 inhibitor.
In still another embodiment, the additional therapeutic agent is an HCV NS4A inhibitor. In another embodiment, the additional therapeutic agent is an HCV NS4B inhibitor.
In another embodiment, the additional therapeutic agent is an HCV NS5A inhibitor
In yet another embodiment, the additional therapeutic agent is an HCV NS 3 helicase inhibitor.
In another embodiment, the additional therapeutic agent is an HCV IRES inhibitor. In another embodiment, the additional therapeutic agent is an HCV p7 inhibitor.
In a further embodiment, the additional therapeutic agent is an HCV entry inhibitor.
In another embodiment, the additional therapeutic agent is an HCV assembly inhibitor.
In one embodiment, the additional therapeutic agents comprise a viral protease inhibitor and a viral polymerase inhibitor.
In still another embodiment, the additional therapeutic agents comprise a viral protease inhibitor and an immunomodulatory agent.
In yet another embodiment, the additional therapeutic agents comprise a polymerase inhibitor and an immunomodulatory agent. In another embodiment, the additional therapeutic agents comprise a viral protease inhibitor and a nucleoside.
In another embodiment, the additional therapeutic agents comprise an immunomodulatory agent and a nucleoside. In one embodiment, the additional therapeutic agents comprise an HCV protease inhibitor and an HCV polymerase inhibitor.
In another embodiment, the additional therapeutic agents comprise a nucleoside and an HCV NS5A inhibitor. In another embodiment, the additional therapeutic agents comprise a viral protease inhibitor, an immunomodulatory agent and a nucleoside.
In a further embodiment, the additional therapeutic agents comprise a viral protease inhibitor, a viral polymerase inhibitor and an immunomodulatory agent.
In another embodiment, the additional therapeutic agent is ribavirin. HCV polymerase inhibitors useful in the present compositions and methods include, but are not limited to, VP- 19744 (Wyeth/ViroPharma), PSI-7851 (Pharmasset), R7128 (Roche/Pharmasset), PF-868554/filibuvir (Pfizer), VCH-759 (ViroChem Pharma), HCV-796 (Wyeth/ViroPharma), IDX- 184 (Idenix), IDX-375 (Idenix), NM-283 (Idenix/Novartis), R- 1626 (Roche), MK-0608 (Isis/Merck), INX-8014 (Inhibitex), INX-8018 (Inhibitex), INX- 189 (Inhibitex), GS 9190 (Gilead), A-848837 (Abbott), ABT-333 (Abbott), ABT-072 (Abbott), A-837093 (Abbott), BI-207127 (Boehringer-Ingelheim), BILB-1941 (Boehringer-Ingelheim), MK-3281 (Merck), VCH222 (ViroChem), VCH916 (ViroChem), VCH716(ViroChem), GSK-71185 (Glaxo SmithKline), ANA598 (Anadys), GSK-625433 (Glaxo SmithKline), XTL-2125 (XTL Biopharmaceuticals), and those disclosed in Ni et ah, Current Opinion in Drug Discovery and Development, 7(4):446 (2004); Tan et ah, Nature Reviews, 1:867 (2002); and Beaulieu et al., Current Opinion in Investigational Drugs, 5:838 (2004).
Other HCV polymerase inhibitors useful in the present compositions and methods include, but are not limited to, those disclosed in International Publication Nos. WO 08/082484, WO 08/082488, WO 08/083351, WO 08/136815, WO 09/032116, WO 09/032123, WO 09/032124 and WO 09/032125.
Interferons useful in the present compositions and methods include, but are not limited to, interferon alfa-2a, interferon alfa-2b, interferon alfacon-1 and PEG-interferon alpha conjugates. "PEG-interferon alpha conjugates" are interferon alpha molecules covalently attached to a PEG molecule. Illustrative PEG-interferon alpha conjugates include interferon alpha-2a (Roferon™, Hoffman La-Roche, Nutley, New Jersey) in the form of pegylated interferon alpha-2a (e.g., as sold under the trade name Pegasys™), interferon alpha- 2b (Intron™, from Schering-Plough Corporation) in the form of pegylated interferon alpha-2b (e.g., as sold under the trade name PEG-Intron Mfrom Schering-Plough Corporation), interferon alpha- 2b-XL (e.g., as sold under the trade name PEG-Intron™), interferon alpha-2c (Berofor Alpha , Boehringer Ingelheim, Ingelheim, Germany), PEG- interferon lambda (Bristol-Myers Squibb and ZymoGenetics), interferon alfa-2b alpha fusion polypeptides, interferon fused with the human blood protein albumin (Albuferon™, Human Genome Sciences), Omega Interferon (Intarcia), Locteron controlled release interferon (Biolex/OctoPlus), Biomed-510 (omega interferon), Peg-IL-29 (ZymoGenetics), Locteron CR (Octoplus), IFN-α-2b-XL (Flamel Technologies), and consensus interferon as defined by determination of a consensus sequence of naturally occurring interferon alphas (Infergen™, Amgen, Thousand Oaks, California). Antibody therapy agents useful in the present compositions and methods include, but are not limited to, antibodies specific to IL-IO (such as those disclosed in US Patent Publication No. US2005/0101770, humanized 12G8, a humanized monoclonal antibody against human IL-10, plasmids containing the nucleic acids encoding the humanized 12G8 light and heavy chains were deposited with the American Type Culture Collection (ATCC) as deposit numbers PTA-5923 and PTA-5922, respectively), and the like).
Examples of viral protease inhbitors useful in the present compositions and methods include, but are not limited to, an HCV protease inhibitor.
HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Nos. 7,494,988, 7,485,625, 7,449,447, 7,442,695, 7,425,576, 7,342,041, 7,253,160, 7,244,721, 7,205,330, 7,192,957, 7,186,747, 7,173,057, 7,169,760, 7,012,066, 6,914,122, 6,911,428, 6,894,072, 6,846,802, 6,838,475, 6,800,434, 6,767,991, 5,017,380, 4,933,443, 4,812,561 and 4,634,697; U.S. Patent Publication Nos. US20020068702, US20020160962, US20050119168, US20050176648, US20050209164, US20050249702 and US20070042968; and International Publication Nos. WO 03/006490, WO 03/087092, WO 04/092161 and WO 08/124148.
Additional HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, SCH503034 (Boceprevir, Schering-Plough), SCH900518 (Schering-Plough), VX-950 (Telaprevir, Vertex), VX-500 (Vertex), VX-813 (Vertex), VBY- 376 (Virobay), BI-201335 (Boehringer Ingelheim), TMC-435 (Medivir/Tibotec), ABT-450 (Abbott), MK-7009 (Merck), TMC-435350 (Medivir), ITMN-191/R7227 (InterMune/Roche), EA-058 (Abbott/Enanta), EA-063 (Abbott/Enanta), GS-9132 (Gilead/Achillion), ACH-1095 (Gilead/Achillon), IDX- 136 (Idenix), IDX-316 (Idenix), ITMN-8356 (InterMune), ITMN- 8347 (InterMune), ITMN-8096 (InterMune), ITMN-7587 (InterMune), BMS-650032 (Bristol-Myers Squibb), VX-985 (Vertex) and PHX1766 (Phenomix).
Further examples of HCV protease inhbitors useful in the present compositions and methods include, but are not limited to, those disclosed in Landro et al, Biochemistry, 36(31):9340-9348 (1997); Ingallinella et al, Biochemistry, 37(25):8906-8914 (1998); Llinas- Brunet et al, Bioorg Med Chem Lett, 8(13): 1713-1718 (1998); Martin et al, Biochemistry, 37(33): 11459- 11468 (1998); Dimasi et al, J Virol, 71(10):7461-7469 (1997); Martin et al, Protein Eng, 10(5):607-614 (1997); Elzouki et al, JHepat, 27(l):42-48 (1997); BioWorld Today, 9(217):4 (November 10, 1998); U.S. Patent Publication Nos. US2005/0249702 and US 2007/0274951; and International Publication Nos. WO 98/14181, WO 98/17679, WO 98/17679, WO 98/22496 and WO 99/07734 and WO 05/087731.
Further examples of HCV protease inhibitors useful in the present compositions and methods include, but are not limited to, the following compounds:
Figure imgf000125_0001
Figure imgf000126_0001
Figure imgf000127_0001
Viral replication inhibitors useful in the present compositions and methods include, but are not limited to, HCV replicase inhibitors, IRES inhibitors, NS4A inhibitors, NS3 helicase inhibitors, NS5A inhibitors, NS5B inhibitors, ribavirin, AZD-2836 (Astra Zeneca), BMS-790052 (Bristol-Myers Squibb, see Gao et al, Nature, 465:96-100 (2010)), viramidine, A-831 (Arrow Therapeutics); an antisense agent or a therapeutic vaccine.
HCV NS4A inhibitors useful in the useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Nos. 7,476,686 and 7,273,885; U.S. Patent Publication No. US20090022688; and International Publication Nos. WO
2006/019831 and WO 2006/019832. Additional HCV NS4A inhibitors useful in the useful in the present compositions and methods include, but are not limited to, AZD2836 (Astra Zeneca) and ACH-806 (Achillon Pharmaceuticals, New Haven, CT).
HCV replicase inhibitors useful in the useful in the present compositions and methods include, but are not limited to, those disclosed in U.S. Patent Publication No. US20090081636.
Therapeutic vaccines useful in the present compositions and methods include, but are not limited to, IC41 (Intercell Novartis), CSL123 (Chiron/CSL), GI 5005 (Globeimmune), TG-4040 (Transgene), GNI- 103 (GENimmune), Hepavaxx C (ViRex Medical), ChronVac-C (Inovio/Tripep), PeviPROTM (Pevion Biotect), HCV/MF59 (Chiron/Novartis) and Civacir (NABI).
Examples of further additional therapeutic agents useful in the present compositions and methods include, but are not limited to, Ritonavir (Abbott), TT033 (Benitec/Tacere Bio/Pfizer), Sirna-034 (Sirna Therapeutics), GNI- 104 (GENimmune), GI-5005
(Globelmmune), IDX- 102 (Idenix), Levovirin™ (ICN Pharmaceuticals, Costa Mesa, California); Humax (Genmab), ITX-2155 (Ithrex/Novartis), PRO 206 (Progenies), HepaCide- I (NanoVirocides), MX3235 (Migenix), SCY-635 (Scynexis); KPE02003002 (Kemin Pharma), Lenocta (VioQuest Pharmaceuticals), IET - Interferon Enhancing Therapy (Transition Therapeutics), Zadaxin (SciClone Pharma), VP 50406™ (Viropharma,
Incorporated, Exton, Pennsylvania); Taribavirin (Valeant Pharmaceuticals); Nitazoxanide (Romark); Debio 025 (Debiopharm); GS-9450 (Gilead); PF-4878691 (Pfizer); ANA773 (Anadys); SCV-07 (SciClone Pharmaceuticals); NIM-881 (Novartis); ISIS 14803™ (ISIS Pharmaceuticals, Carlsbad, California); Heptazyme™ (Ribozyme Pharmaceuticals, Boulder, Colorado); Thymosin™ (SciClone Pharmaceuticals, San Mateo, California); Maxamine™ (Maxim Pharmaceuticals, San Diego, California); NKB- 122 (JenKen Bioscience Inc., North Carolina); Alinia (Romark Laboratories), INFORM-I (a combination of R7128 and ITMN- 191); and mycophenolate mofetil (Hoffman- LaRoche, Nutley, New Jersey).
The doses and dosage regimen of the other agents used in the combination therapies of the present invention for the treatment or prevention of HCV infection can be determined by the attending clinician, taking into consideration the approved doses and dosage regimen in the package insert; the age, sex and general health of the patient; and the type and severity of the viral infection or related disease or disorder. When administered in combination, the Substituted Fused Aryl Tricyclic Compound(s) and the other agent(s) can be administered simultaneously (i.e., in the same composition or in separate compositions one right after the other) or sequentially. This particularly useful when the components of the combination are given on different dosing schedules, e.g., one component is administered once daily and another every six hours, or when the preferred pharmaceutical compositions are different, e.g., one is a tablet and one is a capsule. A kit comprising the separate dosage forms is therefore advantageous.
Generally, a total daily dosage of the at least one Substituted Fused Aryl Tricyclic Compound(s) alone, or when administered as combination therapy, can range from about 1 to about 2500 mg per day, although variations will necessarily occur depending on the target of therapy, the patient and the route of administration. In one embodiment, the dosage is from about 10 to about 1000 mg/day, administered in a single dose or in 2-4 divided doses. In another embodiment, the dosage is from about 1 to about 500 mg/day, administered in a single dose or in 2-4 divided doses. In still another embodiment, the dosage is from about 1 to about 100 mg/day, administered in a single dose or in 2-4 divided doses. In yet another embodiment, the dosage is from about 1 to about 50 mg/day, administered in a single dose or in 2-4 divided doses. In another embodiment, the dosage is from about 500 to about 1500 mg/day, administered in a single dose or in 2-4 divided doses. In still another embodiment, the dosage is from about 500 to about 1000 mg/day, administered in a single dose or in 2-4 divided doses. In yet another embodiment, the dosage is from about 100 to about 500 mg/day, administered in a single dose or in 2-4 divided doses.
In one embodiment, when the additional therapeutic agent is INTRON-A interferon alpha 2b (commercially available from Schering-Plough Corp.), this agent is administered by subcutaneous injection at 3MIU(12 mcg)/0.5mL/TIW for 24 weeks or 48 weeks for first time treatment.
In another embodiment, when the additional therapeutic agent is PEG-INTRON interferon alpha 2b pegylated (commercially available from Schering-Plough Corp.), this agent is administered by subcutaneous injection at 1.5 mcg/kg/week, within a range of 40 to 150 meg/week, for at least 24 weeks. In another embodiment, when the additional therapeutic agent is ROFERON A interferon alpha 2a (commercially available from Hoffmann-La Roche), this agent is administered by subcutaneous or intramuscular injection at 3MIU(11.1 mcg/mL)/TIW for at least 48 to 52 weeks, or alternatively 6MIU/TΪW for 12 weeks followed by 3MIU/TIW for 36 weeks. In still another embodiment, when the additional therapeutic agent is PEGASUS interferon alpha 2a pegylated (commercially available from Hoffmann-La Roche), this agent is administered by subcutaneous injection at 180 mcg/lmL or 180 mcg/0.5mL, once a week for at least 24 weeks.
In yet another embodiment, when the additional therapeutic agent is INFERGEN interferon alphacon-1 (commercially available from Amgen), this agent is administered by subcutaneous injection at 9 mcg/TIW is 24 weeks for first time treatment and up to 15 mcg/TIW for 24 weeks for non-responsive or relapse treatment. In a further embodiment, when the additional therapeutic agent is Ribavirin (commercially available as REBETOL ribavirin from Schering-Plough or COPEGUS ribavirin from Hoffmann-La Roche), this agent is administered at a daily dosage of from about 600 to about 1400 mg/day for at least 24 weeks. In one embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from: an interferon, an immunomodulator, a viral replication inhibitor, an antisense agent, a therapeutic vaccine, a viral polymerase inhibitor, a nucleoside inhibitor, a viral protease inhibitor, a viral helicase inhibitor, a viral polymerase inhibitor a virion production inhibitor, a viral entry inhibitor, a viral assembly inhibitor, an antibody therapy (monoclonal or polyclonal), and any agent useful for treating an RNA-dependent polymerase-related disorder.
In another embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV protease inhibitor, an HCV polymerase inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin. The combination therapies can include any combination of these additional therapeutic agents.
In another embodiment, one or more compounds of the present invention are administered with one additional therapeutic agent selected from an HCV protease inhibitor, an interferon, a pegylated interferon and ribavirin. In still another embodiment, one or more compounds of the present invention are administered with two additional therapeutic agents selected from an HCV protease inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin.
In another embodiment, one or more compounds of the present invention are administered with an HCV protease inhibitor and ribavirin. In another specific embodiment, one or more compounds of the present invention are administered with a pegylated interferon and ribavirin.
In another embodiment, one or more compounds of the present invention are administered with three additional therapeutic agents selected from an HCV protease inhibitor, an HCV replication inhibitor, a nucleoside, an interferon, a pegylated interferon and ribavirin.
In one embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with one or more additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and ribavirin.
In one embodiment, one or more compounds of the present invention are administered with one additional therapeutic agent selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor. In another embodiment, one or more compounds of the present invention are administered with ribavirin.
In one embodiment, one or more compounds of the present invention are administered with two additional therapeutic agents selected from an HCV polymerase inhibitor, a viral protease inhibitor, an interferon, and a viral replication inhibitor.
In another embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and another therapeutic agent.
In another embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and another therapeutic agent, wherein the additional therapeutic agent is selected from an HCV polymerase inhibitor, a viral protease inhibitor, and a viral replication inhibitor. In still another embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and a viral protease inhibitor.
In another embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and an HCV protease inhibitor.
In another embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and boceprevir or telaprevir.
In a further embodiment, one or more compounds of the present invention are administered with ribavirin, interferon and an HCV polymerase inhibitor.
In another embodiment, one or more compounds of the present invention are administered pegylated- interferon alpha and ribavirin.
Compositions and Administration
Due to their activity, the Fused Aryl Tricyclic Compounds are useful in veterinary and human medicine. As described above, the Fused Aryl Tricyclic Compounds are useful for treating or preventing HCV infection in a patient in need thereof.
When administered to a patient, the Fused Aryl Tricyclic Compounds can be administered as a component of a composition that comprises a pharmaceutically acceptable carrier or vehicle. The present invention provides pharmaceutical compositions comprising an effective amount of at least one Fused Aryl Tricyclic Compound and a pharmaceutically acceptable carrier. In the pharmaceutical compositions and methods of the present invention, the active ingredients will typically be administered in admixture with suitable carrier materials suitably selected with respect to the intended form of administration, i.e., oral tablets, capsules (either solid-filled, semi-solid filled or liquid filled), powders for constitution, oral gels, elixirs, dispersible granules, syrups, suspensions, and the like, and consistent with conventional pharmaceutical practices. For example, for oral administration in the form of tablets or capsules, the active drug component may be combined with any oral non-toxic pharmaceutically acceptable inert carrier, such as lactose, starch, sucrose, cellulose, magnesium stearate, dicalcium phosphate, calcium sulfate, talc, mannitol, ethyl alcohol (liquid forms) and the like. Solid form preparations include powders, tablets, dispersible granules, capsules, cachets and suppositories. Powders and tablets may be comprised of from about 0.5 to about 95 percent inventive composition. Tablets, powders, cachets and capsules can be used as solid dosage forms suitable for oral administration.
Moreover, when desired or needed, suitable binders, lubricants, disintegrating agents and coloring agents may also be incorporated in the mixture. Suitable binders include starch, gelatin, natural sugars, corn sweeteners, natural and synthetic gums such as acacia, sodium alginate, carboxymethyl cellulose, polyethylene glycol and waxes. Among the lubricants there may be mentioned for use in these dosage forms, boric acid, sodium benzoate, sodium acetate, sodium chloride, and the like. Disintegrants include starch, methylcellulose, guar gum, and the like. Sweetening and flavoring agents and preservatives may also be included where appropriate.
Liquid form preparations include solutions, suspensions and emulsions and may include water or water- propylene glycol solutions for parenteral injection.
Liquid form preparations may also include solutions for intranasal administration. Aerosol preparations suitable for inhalation may include solutions and solids in powder form, which may be in combination with a pharmaceutically acceptable carrier, such as an inert compressed gas. Also included are solid form preparations which are intended to be converted, shortly before use, to liquid form preparations for either oral or parenteral administration. Such liquid forms include solutions, suspensions and emulsions.
For preparing suppositories, a low melting wax such as a mixture of fatty acid glycerides or cocoa butter is first melted, and the active ingredient is dispersed homogeneously therein as by stirring. The molten homogeneous mixture is then poured into convenient sized molds, allowed to cool and thereby solidify.
Additionally, the compositions of the present invention may be formulated in sustained release form to provide the rate controlled release of any one or more of the components or active ingredients to optimize therapeutic effects, i.e., antiviral activity and the like. Suitable dosage forms for sustained release include layered tablets containing layers of varying disintegration rates or controlled release polymeric matrices impregnated with the active components and shaped in tablet form or capsules containing such impregnated or encapsulated porous polymeric matrices. In one embodiment, the one or more Fused Aryl Tricyclic Compounds are administered orally.
In another embodiment, the one or more Fused Aryl Tricyclic Compounds are administered intravenously.
In another embodiment, the one or more Fused Aryl Tricyclic Compounds are administered topically.
In still another embodiment, the one or more Fused Aryl Tricyclic Compounds are administered sublingually.
In one embodiment, a pharmaceutical preparation comprising at least one Fused Aryl Tricyclic Compound is in unit dosage form. In such form, the preparation is subdivided into unit doses containing effective amounts of the active components.
Compositions can be prepared according to conventional mixing, granulating or coating methods, respectively, and the present compositions can contain, in one embodiment, from about 0.1% to about 99% of the Fused Aryl Tricyclic Compound(s) by weight or volume. In various embodiments, the present compositions can contain, in one embodiment, from about 1% to about 70% or from about 5% to about 60% of the Fused Aryl Tricyclic Compound(s) by weight or volume.
The quantity of Fused Aryl Tricyclic Compound in a unit dose of preparation may be varied or adjusted from about 1 mg to about 2500 mg. In various embodiment, the quantity is from about 10 mg to about 1000 mg, 1 mg to about 500 mg, 1 mg to about 100 mg, and 1 mg to about 100 mg.
For convenience, the total daily dosage may be divided and administered in portions during the day if desired. In one embodiment, the daily dosage is administered in one portion. In another embodiment, the total daily dosage is administered in two divided doses over a 24 hour period. In another embodiment, the total daily dosage is administered in three divided doses over a 24 hour period, hi still another embodiment, the total daily dosage is administered in four divided doses over a 24 hour period.
The amount and frequency of administration of the Fused Aryl Tricyclic Compounds will be regulated according to the judgment of the attending clinician considering such factors as age, condition and size of the patient as well as severity of the symptoms being treated. Generally, a total daily dosage of the Fused Aryl Tricyclic Compounds range from about 0.1 to about 2000 mg per day, although variations will necessarily occur depending on the target of therapy, the patient and the route of administration. In one embodiment, the dosage is from about 1 to about 200 mg/day, administered in a single dose or in 2-4 divided doses. In another embodiment, the dosage is from about 10 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses, hi another embodiment, the dosage is from about 100 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses, hi still another embodiment, the dosage is from about 500 to about 2000 mg/day, administered in a single dose or in 2-4 divided doses.
The compositions of the invention can further comprise one or more additional therapeutic agents, selected from those listed above herein. Accordingly, in one embodiment, the present invention provides compositions comprising: (i) at least one Fused Aryl Tricyclic Compound or a pharmaceutically acceptable salt thereof; (ii) one or more additional therapeutic agents that are not a Fused Aryl Tricyclic Compound; and (iii) a pharmaceutically acceptable carrier, wherein the amounts in the composition are together effective to treat HCV infection.
Kits hi one aspect, the present invention provides a kit comprising a therapeutically effective amount of at least one Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt of said compound and a pharmaceutically acceptable carrier, vehicle or diluent. In another aspect the present invention provides a kit comprising an amount of at least one Fused Aryl Tricyclic Compound, or a pharmaceutically acceptable salt of said compound and an amount of at least one additional therapeutic agent listed above, wherein the amounts of the two or more active ingredients result in a desired therapeutic effect. In one embodiment, the one or more Fused Aryl Tricyclic Compounds and the one or more additional therapeutic agents are provided in the same container. In one embodiment, the one or more Fused Aryl Tricyclic Compounds and the one or more additional therapeutic agents are provided in separate containers.
It will be appreciated that various of the above-discussed and other features and functions, or alternatives thereof, may be desirably combined into many other different systems or applications. Also that various presently unforeseen or unanticipated alternatives, modifications, variations or improvements therein may be subsequently made by those skilled in the art which are also intended to be encompassed by the following claims. A number of references have been cited herein. Such citations are not to be construed as an admission that said cited references are prior art to this application.
SEQUENCE LISTING
<110> Bennett, Frank Venkatraman, Srikanth
Njoroge, F G Chan, Kevin X Shin, Neng-Yang Rosenblum, Stuart B Kozlowski, Joseph A
Coburn, Craig A.
<120> Fused Tricyclic Aryl Compounds Useful For The Treatment Of Viral Diseases
<130> IN2009.6988US01
<140> 61/177,440 <141> 2009-05-12 <160> 4
<170> Patentln version 3.5
<210> 1 <211> 75 <212> RNA <213> Artificial Sequence
<220> <223> RNA template
<400> 1 ugugccgguc uuucugaacg ggauauaaac cuggccagcu ucaucgaaca aguugccgug 60
ucuaugacau agauc 75
<210> 2
<211> 17 <212> DNA
<213> Artificial Sequence
<220>
<223> PCR primer 5B .2F
<400> 2 atggacaggc gccctga 17 <210> 3
<211> 20 <212> DNA
<213> Artificial Sequence
<220>
<223> PCR primer 5B.2R
<400> 3 ttgatgggca gcttggtttc 20
<210> 4
<211> 17
<212> DNA
<213> FAM labeled probe <400> 4 cacgccatgc gctgcgg 17

Claims

WHAT IS CLAIMED IS:
1. A compound having the formula:
Figure imgf000138_0001
or a pharmaceutically acceptable salt thereof, wherein each dotted line represents an optional and additional bond, such that only one optional and additional bond can be attached to each of Y and Y , and wherein:
A is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R3 groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group or said heteroaryl group can be optionally and independently substituted on one or more ring nitrogen atoms with R1 and on one or more ring carbon atoms with R" ;
D is 4 to 7-membered heterocycloalkyl, 4 to 7-membered heterocycloalkenyl, aryl or heteroaryl, wherein said aryl group can be substituted with up to two R4 groups, which can be the same or different, and wherein said 4 to 7-membered heterocycloalkyl group, said 4 to 7- membered heterocycloalkenyl group, or said heteroaryl group can be optionally and independently substituted on one or more ring nitrogen atoms with R and on one or more ring carbon atoms with R4;
L1 is a bond, ~[C(R13)2]q-, ~[C(R13)2]m-C(R13)=C(R13)-[C(R13)2]m-, -[C(R13)2]m-
(C≡C)q-lC(R ι l133\)2]m-, ~[C(R , 113Jx)2]m-O-[C(R , 1u3)2]m-, -[C(R 1^3\)2]m-N(R » 1144\)-[C(R , 1u3N)2]m-, -[C(R » 1u3x)2jm- C(O)N(R14)-[C(R13)2]m-, -[C(R13)2]m-N(R14)C(O)-[C(R13)2]m-, -OC(O)N(R14)-, - N(R14)C(0)0-, -N(R14)C(O)N(R14)-, -[C(R13)2]mS(O)2[C(R13)2]m-, -S(O)2N(R14) [C(R13)2]m-
~[C(Ru)2]mN(R14)S(O)2- or -N(R , 114IS(O)2N(R 1144\)-, -C(O)-, -CF2-, such that when L1 is linked to a ring nitrogen atom of A, then L1 is joined via one of its carbon atoms;
V is abond, -[C(R , 11O3x2]O-, -[C(R ,11O32Jm-C(R 11O3N=C(R , 11O3N-[C(R >1"3^N -,-[C(R >11O3N2Im-
(C≡C)q-[C(Rιl13J N)2]m-, -[C(R , 113-'\)2]m-O-[C(R .113J)2]m-, -[C(R 1"3x)2]πi-N(R , 114>x[C(R .1I3;>x)2]In-, -[C(R I113JN)2]m- C(O)N(R14)-[C(R13)2]m-, -[C(R13)2]m-N(R14)C(O)-[C(R13)2]m-, -OC(O)N(R14)-, - N(RI4)C(O)O-, -N(RI4)C(O)N(RI4K -[C(RI 3)2]mS(O)2[C(RI3)2lm-, -S(O)2N(R14) [C(RI3)2]m- , -[C(RI3)2]mN(R14)S(O)2- or -N(RI4)S(O)2N(R14)-, -C(O)-, -CF2-, such that when L2 is linked to a ring nitrogen atom of D, then L" is joined via one of its carbon atoms;
M1 is -C(R17)- or -N-;
M2 is -C(R17)- or -N-;
X1 is -fC(RI2)]c, -C(RI 2)=C(R12)-, -N=C(R12)-, -C(RI2)=N-, -[C(R12)]nO-[C(RI2)]n-, -[C(RI 2)]nN(R10)[C(R12)]n-, -N(RI0)C(O)N(R10)-, -[C(R12)]nS(O)n[C(RI2)]n-, -S(O)2N(R10)-, or -N(RIO)S(0)2- when the optional and additional bond to X1 is not present, and X1 is - C(R1')- or -N- when the optional and additional bond to X1 is present;
X2 is -[C(RI2)]q-, -C(RI2)=C(R12)-, -N=C(R12)-, -C(RI2)=N-, -[C(RI2)]nO-[C(R12)]n-, 4C(RI 2)]nN(RI0)[C(RI2)ln-, -N(RI0)C(O)N(R10K -[C(R12)]nS(O)n[C(RI2)]n-, -S(O)2N(R10)-, or -N(R 10)S (O)2- when the optional and additional bond to X2 is not present, and X2 is - C(R12)- or -N- when the optional and additional bond to X2 is present;
Y1 is -C- when an optional and additional bond to Y1 is present, and Y1 is -CH- when an optional and additional bond to Y1 is absent;
Y2 is -C- when an optional and additional bond to Y2 is present, and Y2 is -CH- when an optional and additional bond to Y2 is absent;
Z1 is -[C(R12)]q-, -C(R12)=C(R12K -N=C(R12)-, -C(RI2)=N-, -[C(RI2)]nO-[C(RI2)]n-, -[C(RI2)]nN(R10)[C(R12)]n-, -N(R10XXO)N(R10K -[C(R12)]nS(O)n[C(RI2)]n-, -S(O)2N(R10)-, or -N(Rl0)S(O)2- when the optional and additional bond to Z1 is not present, and Z1 is - C(R )- or -N- when the optional and additional bond to Z is present; such that the ring containing variables X1, Y1 and Z has from 5 to 8 ring atoms;
Z2 is -[C(RI 2)V, -C(R12)=C(R12K -N=C(R12)-, -C(R12)=N-, -[C(RI2)]nO-[C(R12)]n-, -[C(R12)]nN(R'°)[C(RI 2)]n-, -N(R10XXO)N(R10)-, -[C(R12)]nS(O)n[C(R12)]n-, -S(O)2N(R10)-, or -N(Rl 0)S(O)2- when the optional and additional bond to Z2 is not present, and Z2 is - C(R12)- or -N- when the optional and additional bond to Z2 is present; such that the ring containing variables X , Y and Z has from 5 to 8 ring atoms; each occurrence of R1 is independently -R5, -C1-C6 alkyl, -Ci-C6 haloalkyl, - [C(R12)2]p-(3 to 7-membered cycloalkyl) or -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), wherein said CpC6 alkyl group, said Ci -C6 haloalkyl group, said 3 to 7-membered cycloalkyl group or said 4 to 7-membered heterocycloalkyl group can be optionally and independently substituted with up to two R5 groups; each occurrence of R2 is independently -R5, -Ci-C6 alkyl, -C1-C6 haloalkyl, - [C(Rl2)2]p-(3 to 7-membered cycloalkyl) or -[C(R12)2jp-(4 to 7-membered heterocycloalkyl), wherein said Ci-C6 alkyl group, said Ci -C6 haloalkyl group, said 3 to 7-membered cycloalkyl group or said 4 to 7-membered heterocycloalkyl group can be optionally and independently substituted with up to two R5 groups; each occurrence of R3 is independently -R5, -[C(RI2)2]P-R5, -[C(R12)2JPOR5, - fC(R12)2]pOC(O)R5, -[C(R12)2]PN(R1O)R5, -[C(R12)2]p-(3 to 7-membered cycloalkyl), - [C(Rl2)2]p-(3 to 7-membered heterocycloalkyl), -[C(Rl2)2]p-aryl or -[C(R12)2]p-heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 3 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to four R5 groups, such that two R5 groups on different carbon atoms of the same R3 group can combine to form a Ci -C3 alkylene group between the carbon atoms to which the two said R5 groups are attached, and wherein said 3 to 7-membered cycloalkyl group and said 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R4 is independently -R5, -[C(R12)2]P-R5, -[C(R12)2JPOR5, - [C(R12)2]POC(O)R5, -[C(RI2)2JPN(RIO)R5, -[C(R12)2]p-(3 to 7-membered cycloalkyl), - [C(Rl2)2]p-(3 to 7-membered heterocycloalkyl), -[C(R12)2]p-aryl or -[C(R12)2]p-heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 3 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to four R5 groups, such that two R5 groups on different carbon atoms of the same R4 group can combine to form a Ci -C3 alkylene group between the carbon atoms to which the two said R5 groups are attached, and wherein said 3 to 7-membered cycloalkyl group and said 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R5 is independently H, -[C(R12)2]p-alkyl, -[C(Rl2)2Jp-haloalkyl, - [C(R12)2]p-(3 to 7-membered cycloalkyl), -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), - [C(Rl2)2]p-aryl, -[C(R12)2]p-heteroaryl, -[C(R12)2]P-C(O)R12 -[C(R12)2]POR10, - [C(R12)2]POC(O)R12, -[C(Ri2)2JpN(R10)2, -[C(R12)2jpN(R10)C(O)R12, -[C(R12)21PS(O)2RU - [C(Rl2)2]pN(R10)S(O)2R11 , -[C(R12^]PS(O)2(R1 ^N(R10), -C(O)-[C(R12)2]qN(R10)2, -C(O)- [C(R12)2]qN(R10)C(O)alkyl, -C(O)[C(R12)2]qN(R10)C(O)Oalkyl, -C(O)- [C(R12)2]qN(R10)C(O)Ocycloalkyl, -C(O)-[C(R12)2JqN(R10)S(O)2R" or -C(S)- [C(R12)2]qN(R10)C(O)R6, such that when an R5 group is attached to a nitrogen atom of an A, D, R1, R2, R3 or R4 group, the R5 group must be joined via one of its carbon or sulfur atoms; each occurrence of R6 is independently H, -C)-C6 alkyl, halo, -OH, -Ci-C6 hydroxyalkyl, -N(R15)2, -OR16, -CN, -C(O)OH, -C1-C6 haloalkyl, -C(O)-(C, -C6 alkyl), - C(O)OR14, -C(O)N(R15)2, -O-C(O)R14, -0-C(O)N(R 15)2, -N(R 14)C(0)-(C, -C6 alkyl), -NHSO2- (C1-C6 alkyl), -SO2-(C1-C6 alkyl), -SO2NH-(C1-C6 alkyl), -(C1-C6 alkylene)-O-(C, -C6 alkyl), - (C1-C6 alkylene)-N(R15)2, -(C1-C6 alkylene)-S(O)2-(C, -C6 alkyl), -(C1-C6 alkylene)-R14, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R1 is independently H, -C1-C6 alkyl, -C2-C6 alkenyl, -C2-C6 alkynyl, -[C(R12)2]p-(3 to 7-membered cycloalkyl), -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), -[C(R12)2]p-aryl, -[C(Rl2)2]p-heteroaryl, -C ,-C6 haloalkyl or -C1-C6 hydroxyalkyl, wherein said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to two R13 groups, and wherein two R10 groups that are attached to a common nitrogen atom, together with the nitrogen atom to which they are attached, can join to form a 4 to 7-membered heterocycloalkyl group; each occurrence of R1 1 is independently -C1-C6 alkyl, [C(Rl 2)2Jp-(3 to 7-membered cycloalkyl), -[C(R12)2]p-(4 to 7-membered heterocycloalkyl), -[C(R12)2Jp-aryl, -[C(R12)2]P- heteroaryl, -C1-C6 haloalkyl or -C1-C6 hydroxyalkyl, wherein said C1-C6 alkyl group, said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to two R13 groups; each occurrence of R12 is independently H, halo, -Ci-C6 haloalkyl, -CN, -Ci-C6 alkyl, -C,-C6 alkylene-OR16, -C,-C6 alkylene-N(R15)2, -C(O)-(Ci-C6 alkyl), -C(O)OH, - C(O)N(RI 5)2, -OR16, -N(R15)2, -NHC(O)-(C-C6 alkyl), -NHSO2-(Ci-C6 alkyl), 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl, wherein said 3 to 7-membered cycloalkyl group, said 4 to 7-membered heterocycloalkyl group, said aryl group or said heteroaryl group can be optionally and independently substituted with up to 3 substituents, which can be the same or different, and are selected from Ci-C6 alkyl, halo, -C- C6 haloalkyl, -Ci-C6 hydroxyalkyl, -OH, -C(O)NH-(Ci-C6 alkyl), -C(O)N(C-C6 alkyl)2, -O- (Ci-C6 alkyl), -NH2, -NH(C-C6 alkyl), -N(C-C6 alkyl)2 and -NHC(O)-(Ci-C6 alkyl), and wherein two geminal R12 groups, together with the common carbon atom to which they are attached, can join to form -C(O)-, -C(S)-, a 3 to 7-membered cycloalkyl group or a 4 to 7- membered heterocycloalkyl group, such that no two adjacent -C(R , 12 "N)2- groups can join to form a -C(O)-C(O)-, -C(S)-C(S)-, -C(O)-C(S)- or -C(S)-C(O)- group; each occurrence of R1 ' is independently H, -Ci-C6 haloalkyl, -Cj-C6 alkyl, -(Ci-C6 alkylene)-O-(Ci-C6 alkyl), -Ci-C6 hydroxyalkyl, -(Ci-C6 alkylene)-NH-(C| -C6 alkyl), -C(O)- (C-C6 alkyl), -C(O)O(C1-C6 alkyl), -C(O)OH or -C(O)NH-(Ci-C6 alkyl);
I A. each occurrence of R is independently H, -Ci-C6 alkyl, 3 to 6-membered cycloalkyl or 4 to 6-membered heterocycloalkyl; each occurrence of R15 is independently H, -C]-C6 alkyl, -C J-C6 haloalkyl, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl, such that two R15 groups that are attached to a common nitrogen atom, together with the nitrogen atom to which they are attached, can join to form a 4 to 7-membered heterocycloalkyl group; each occurrence of R16 is independently H, -Ci-C6 alkyl, -Ci-C6 haloalkyl, 3 to 7- membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R17 is independently H, -Ci-C6 alkyl, halo, -Ci -C6 haloalkyl, or 3 to 7-membered cycloalkyl; each occurrence of m is independently an integer ranging from O to 2; each occurrence of n is independently an integer ranging from O to 2; each occurrence of p is independently an integer ranging from O to 3; and each occurrence of q is independently an integer ranging from 1 to 3.
The compound of claim 1, wherein A and D are each independently heteroaryl.
3. The compound of claim 1, wherein A and D are each independently selected from
Figure imgf000142_0001
wherein R 1 1 and Λ r R> 3 represent possible substituents on A, and R and R represent possible substituents on D.
4. The compound of claim 1 , wherein the group:
Figure imgf000143_0001
is selected from:
Figure imgf000143_0002
Figure imgf000144_0001
5. The compound of claim 1, wherein L and L*" are each independently selected from a bond, C2-C4 alkylene, -NH-, -C(O)-, -NHC(O)- and -S(O)2-.
6. The compound of claim 1 , having the formula:
Figure imgf000144_0002
or a pharmaceutically acceptable salt thereof, wherein:
A is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R3;
D is heteroaryl, which can be optionally and independently substituted on one or more ring carbon atoms with R4;
M1 is -CH- or -N-;
M2 is -CH- or -N-;
X1 is -CH2-, -NH- or -O- when the optional and additional bond to X1 is not present, and X1 is -CH- or -N- when the optional and additional bond to X1 is present;
X" is -CH2-, -NH- or -O- when the optional and additional bond to X is not present, and X2 is -CH- or -N- when the optional and additional bond to X2 is present;
Y1 is -C- when an optional and additional bond to Y1 is present, and Y1 is -CH- when an optional and additional bond to Y1 is absent;
Y is -C- when an optional and additional bond to Y is present, and Y is -CH- when an optional and additional bond to Y" is absent;
Z1 is -CH2-, -NH- or -O- when the optional and additional bond to Z1 is not present, and Z1 is -CH- or -N- when the optional and additional bond to Z1 is present;
Z2 is -CH2-, -NH- or -O- when the optional and additional bond to Z2 is not present, and Z2 is -CH- or -N- when the optional and additional bond to Z2 is present; each occurrence of R" is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R4 is independently 3 to 7-membered heterocycloalkyl, which can be optionally and independently substituted with up to four R5 groups, and wherein the 3 to 7-membered heterocycloalkyl group can be optionally fused to an aryl or a heteroaryl ring; each occurrence of R5 is independently halo, -C(0)N(R10)C(0)N(RIO)2, - C(O)C(R 12)2N(Rl0)C(O)R6, or two R5 groups on different carbon atoms of the same R3 or R4 group can combine to form a C1-C3 alkylene group between the carbon atoms to which the two said R groups are attached; each occurrence of R6 is independently -Ci-C6 alkyl, -0-(Cj-C6 alkyl), -Ci-C6 haloalkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl; each occurrence of R10 is independently H or -Ci -C6 alkyl; and each occurrence of R1 is independently H, -C \ -C6 haloalkyl,
-C i -C6 alkyl, 3 to 7-membered cycloalkyl, 4 to 7-membered heterocycloalkyl, aryl or heteroaryl.
7. The compound of claim 6, wherein the group:
Figure imgf000146_0001
is selected from:
Figure imgf000146_0002
8. The compound of claim 7, wherein A and D are each imidazolyl or benzimidazolyl.
9. The compound of claim 8, wherein R3 and R4 are each independently selected from:
Figure imgf000146_0003
10. The compound of claim 9, wherein R and R are each:
Figure imgf000146_0004
11. The compound of claim 9, wherein each occurrence of R is independently selected from:
Figure imgf000147_0001
12. The compound of claim 9, wherein each occurrence of R5 is independently:
Figure imgf000147_0002
, wherein Ra is H, alkyl, haloalkyl, cycloalkyl or aryl, and R is alkyl.
13. The compound of claim 12, wherein each occurrence of R is:
Figure imgf000147_0003
14. The compound of claim 1 having the formula:
Figure imgf000147_0004
or a pharmaceutically acceptable salt thereof, wherein: each occurrence of R* is independently H or F; each occurrence of Rs is independently H or F;
A and D are the same and are selected from:
Figure imgf000148_0001
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ib);
T is selected from:
Figure imgf000148_0002
15. The compound of claim 1 having the formula:
Figure imgf000148_0003
or a pharmaceutically acceptable salt thereof, wherein: each occurrence of Rf is independently H or F; each occurrence of R8 is independently H or F;
A and D are the same and are selected from:
Figure imgf000149_0001
, such that the bond adjacent to the nitrogen atoms in A and D are joined to the pyrrolidine ring of formula (Ic);
L1 is a bond, C2-C4 alkylene, -NH-, -C(O)-, -NHC(O)- or -S(O)2-; L2 is a bond, C2-C4 alkylene, -NH-, -C(O)-, -C(O)NH- or -S(O)2-, such that at least one of L1 and L2 is other than a bond; and T is selected from:
Figure imgf000149_0002
16. The compound having the structure:
Figure imgf000149_0003
Figure imgf000150_0001
Figure imgf000151_0001
Figure imgf000151_0002
Figure imgf000152_0001
Figure imgf000153_0001
Figure imgf000154_0001
or a pharmaceutically acceptable salt thereof.
17. A pharmaceutical composition comprising at least one compound of claim 1 or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable carrier.
18. The composition of claim 17, further comprising at least one additional antiviral agent, which is not a compound of claim 1, wherein the additional antiviral agent(s) is selected from: an HCV polymerase inhibitor; an interferon; a RNA replication inhibitor; an antisense agent; a therapeutic vaccine; a protease inhibitor; an antibody therapy (monoclonal or polyclonal); ribavirin; and any agent useful for treating an RNA-dependent polymerase- related disorder, and wherein the amounts administered are together effective to treat a viral infection.
19. A method for treating HCV infection in a patient, the method comprising administering to the patient an effective amount of at least one compound of claim 1 or a pharmaceutically acceptable salt thereof.
20. The method of claim 19, further comprising administering to the patient at least one additional antiviral agent, which is not a compound of claim 1, wherein the additional antiviral agent(s) is selected from: an HCV polymerase inhibitor; an interferon; a RNA replication inhibitor; an antisense agent; a therapeutic vaccine; a protease inhibitor; an antibody therapy (monoclonal or polyclonal); ribavirin; and any agent useful for treating an RNA-dependent polymerase-related disorder, and wherein the amounts administered are together effective to treat a viral infection.
21. The method of claim 20, wherein the additional antiviral agents are pegylated- interferon alpha and ribavirin.
22. A use of the compound according to any one of claims 1-16 in the preparation of a medicament for inhibiting HCV NS5B activity or for treating or preventing HCV infection in a patient.
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